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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053940569

Lisa Michelle Carrington is a Student in an Organized Health Care Education/Training Program in San Jose, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

150 N Jackson Ave Ste 110
San Jose, CA 95116-1908
Phone: (925) 817-7685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 925 W 34th St # 201j, Los Angeles, CA 90089-0058 — (925) 817-7685

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 105917 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053940569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2020
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

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