Provider Demographics
NPI:1144264581
Name:LANDSVERK, ELIZABETH ANN (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:LANDSVERK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1633 BAYSHORE HIGHWAY
Mailing Address - Street 2:SUITE 245
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010
Mailing Address - Country:US
Mailing Address - Phone:650-357-8834
Mailing Address - Fax:650-357-8811
Practice Address - Street 1:1633 BAYSHORE HIGHWAY
Practice Address - Street 2:SUITE 245
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010
Practice Address - Country:US
Practice Address - Phone:650-357-8834
Practice Address - Fax:650-357-8811
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2015-03-23
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Provider Licenses
StateLicense IDTaxonomies
CAG86242207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine