Healthcare Provider Details

I. General information

NPI: 1508397985
Provider Name (Legal Business Name): MARGARET LYDIA HANKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 QUALITY DR
VACAVILLE CA
95688-9494
US

IV. Provider business mailing address

1 QUALITY DR
VACAVILLE CA
95688-9494
US

V. Phone/Fax

Practice location:
  • Phone: 707-624-4000
  • Fax:
Mailing address:
  • Phone: 707-624-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD471919
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberA184312
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: