Guerette, Lisa Marie

Guerette, Lisa Marie is an individual health care provider with primary practice located at 2100 W 3Rd St Ste 100 , Los Angeles CA 90057-1971. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Guerette, Lisa Marie can be contacted via phone (213) 353-7005.

Contact Information

Primary practice address
2100 W 3Rd St Ste 100 Los Angeles CA 90057-1971
Phone: (213) 353-7005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2947 California
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 30 Alaska
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 55 Alaska
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 20127 California

Profile Details

NPI number 1144369414
LBN Legal business name Guerette, Lisa Marie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Feb 19th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144369414 NPPES
Alaska MEDICAID SP7673
Alaska MEDICAID AU7673

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