Bradley, Lisa Laverne

Bradley, Lisa Laverne is an individual health care provider with primary practice located at 3831 Stocker St , Los Angeles CA 90008-5103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bradley, Lisa Laverne can be contacted via phone (323) 291-6234.

Contact Information

Primary practice address
3831 Stocker St Los Angeles CA 90008-5103
Phone: (323) 291-6234
Fax: (323) 291-7953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X CA13997 California

Profile Details

NPI number 1427106764
LBN Legal business name Bradley, Lisa Laverne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 17 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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