Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Marie Hanson

Individual provider Family Nurse Practitioner · NPI 1013676048

Lisa Marie Hanson is a Family Nurse Practitioner in Fontana, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

16465 Sierra Lakes Pkwy Ste 275
Fontana, CA 92336-1263
Phone: (909) 823-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95019039 (CA)

Record details

NPI number1013676048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2021
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address16465 Sierra Lakes Pkwy Ste 275, Fontana, CA 92336-1263

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