Hansen, Lisa

Hansen, Lisa is an individual health care provider with primary practice located at 89 W March Ln Suite #1, Stockton CA 95207-5721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hansen, Lisa can be contacted via phone (209) 478-2622.

Contact Information

Primary practice address
89 W March Ln Suite #1 Stockton CA 95207-5721
Phone: (209) 478-2622
Fax: (209) 870-2754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN488598 California

Profile Details

NPI number 1053437004
LBN Legal business name Hansen, Lisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053437004 NPPES
California Other NP9830 FURNISHING LICENSE
California Other RN488598 FURNISHING LICENSE

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