Jordan, Lisa

Jordan, Lisa is an individual health care provider with primary practice located at 430 N Pilgrim St , Stockton CA 95205-4428. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Jordan, Lisa can be contacted via phone (209) 466-0853.

Contact Information

Primary practice address
430 N Pilgrim St Stockton CA 95205-4428
Phone: (209) 466-0853
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 0 California

Profile Details

NPI number 1265909055
LBN Legal business name Jordan, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2018
Last updated Oct 30th, 2018 - about 7 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.

Request for update

Popular Providers