Lisa Marie Shaw
Lisa Marie Shaw is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2130 Center St Ste 200Berkeley, CA 94704-1386
Phone: (510) 548-8283
Fax: (510) 548-2938
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1104659168 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2024 |
| Last updated in NPPES | August 23, 2024 |
| Certification date | August 23, 2024 |
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