Fizzard, Stephanie Quilianna

Fizzard, Stephanie Quilianna is an individual health care provider with primary practice located at 25902 Tipperary Ln , Lake Forest CA 92630-8059. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fizzard, Stephanie Quilianna can be contacted via phone (949) 916-2924.

Contact Information

Primary practice address
25902 Tipperary Ln Lake Forest CA 92630-8059
Phone: (949) 916-2924
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14810 California

Profile Details

NPI number 1114953155
LBN Legal business name Fizzard, Stephanie Quilianna
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 17th, 2014 - about 11 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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