Lisa DO
Lisa DO is a Student in an Organized Health Care Education/Training Program in Pasadena, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2750 E Washington Blvd Ste 230Pasadena, CA 91107-1449
Phone: (626) 296-8900
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1902371016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 4, 2018 |
| Last updated in NPPES | September 9, 2020 |
| Certification date | September 9, 2020 |
| Mailing address | 11336 Lower Azusa Rd, El Monte, CA 91732-1329 |
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