Bodzio, Lisa

Bodzio, Lisa is an individual health care provider with primary practice located at 9985 Sierra Ave , Fontana CA 92335-6720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bodzio, Lisa can be contacted via phone (909) 427-5000.

Contact Information

Primary practice address
9985 Sierra Ave Fontana CA 92335-6720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 18410 California

Profile Details

NPI number 1356548069
LBN Legal business name Bodzio, Lisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Nov 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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