MEDICARE: ELIZABETH LANE IANDER

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	106H00000X	Marriage & Family Therapist	160585	CA

General Provider Information

NPI Number	:	1831787266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH LANE IANDER

Provider Business Mailing Address
First Line	:	18225 HALE AVE
Second Line	:
City	:	MORGAN HILL
State	:	CA
Zip	:	95037-3547
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9343 TECH CENTER DR STE 110
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-2592
Country	:	US
Telephone Number	:	916-457-3129
Fax Number	:

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

Provider Enumeration Date	:	12/31/2020
Last Update Date	:	01/19/2026

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Directions to “ ELIZABETH LANE IANDER ” Practice Location

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