Clement, Lisa
Clement, Lisa is an sole proprietor health care provider with primary practice located at 2030 Viborg Rd Ste 102, Solvang CA 93463-3224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Clement, Lisa can be contacted via phone (805) 686-5533.Contact Information
Primary practice address
2030 Viborg Rd Ste 102
Solvang CA 93463-3224
Phone: (805) 686-5533
Fax: (805) 686-9977
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G072630 | California |
Profile Details
NPI number | 1952486094 |
---|---|
LBN Legal business name | Clement, Lisa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 26th, 2006 |
Last updated | Jul 18th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952486094 | NPPES |
California | MEDICAID | 00G726300 |
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