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

Individual provider Physician Assistant · NPI 1114953155

Stephanie Quilianna Fizzard, PA is a Physician Assistant in Lake Forest, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

25902 Tipperary Ln
Lake Forest, CA 92630-8059
Phone: (949) 916-2924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14810 (CA)

Record details

NPI number1114953155
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESDecember 17, 2014

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