Healthcare Provider Details
I. General information
NPI: 1811971062
Provider Name (Legal Business Name): LYNETTE SCHERER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 12/01/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2315 STOCKTON BLVD ROOM 4206
SACRAMENTO CA
95817-2201
US
IV. Provider business mailing address
2315 STOCKTON BLVD ROOM 4206
SACRAMENTO CA
95817-2201
US
V. Phone/Fax
- Phone: 916-734-7982
- Fax: 916-734-7821
- Phone: 916-734-7982
- Fax: 916-734-7821
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0102X |
| Taxonomy | Surgical Critical Care Physician |
| License Number | G79557 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0127X |
| Taxonomy | Trauma Surgery Physician |
| License Number | G79557 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: