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
Fax: (805) 686-9977
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952486094 NPPES
California MEDICAID 00G726300

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