Hudson, Lisa A

Hudson, Lisa A is an sole proprietor health care provider with primary practice located at 913 San Ramon Valley Blvd Suite 186, Danville CA 94526-4031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hudson, Lisa A can be contacted via phone (925) 984-2622.

Contact Information

Primary practice address
913 San Ramon Valley Blvd Suite 186 Danville CA 94526-4031
Fax: (925) 362-3676
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G77153 California

Profile Details

NPI number 1760427702
LBN Legal business name Hudson, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Mar 19th, 2015 - about 9 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 1760427702 NPPES
California Other P01114645 RAILROAD MEDICARE
California MEDICAID 00G771530 RAILROAD MEDICARE

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