Hisaw, Lisa Diane

Hisaw, Lisa Diane is an individual health care provider with primary practice located at 710 Lawrence Expy Gme Dept. 384, Santa Clara CA 95051-5173. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Hisaw, Lisa Diane can be contacted via phone (408) 851-4480.

Contact Information

Primary practice address
710 Lawrence Expy Gme Dept. 384 Santa Clara CA 95051-5173
Phone: (408) 851-4480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A141079 California

Profile Details

NPI number 1619395597
LBN Legal business name Hisaw, Lisa Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2014
Last updated Dec 17th, 2021 - 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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