Healthcare Provider Details

I. General information

NPI: 1013785344
Provider Name (Legal Business Name): LIAM L'ESTRANGE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4380 AUBURN BLVD
SACRAMENTO CA
95841-4148
US

IV. Provider business mailing address

5100 SIERRA COLLEGE BLVD
ROCKLIN CA
95677-3855
US

V. Phone/Fax

Practice location:
  • Phone: 191-644-4003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: