MEDICARE: LILLIAN ROSE STURMER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	20A23381	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1396440426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLIAN ROSE STURMER DO

Provider Business Mailing Address
First Line	:	26310 GREEN ACRES RD
Second Line	:
City	:	COLFAX
State	:	CA
Zip	:	95713-9485
Country	:	US
Telephone Number	:	415-573-6416
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL PLAZA DR
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3037
Country	:	US
Telephone Number	:	916-781-1647
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	02/25/2026

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Directions to “ LILLIAN ROSE STURMER DO” Practice Location

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