Lestishock, Lisa A

Lestishock, Lisa A is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lestishock, Lisa A can be contacted via phone (650) 498-7103.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Phone: (650) 498-7103
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11029 California

Profile Details

NPI number 1447385166
LBN Legal business name Lestishock, Lisa A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Mar 31st, 2023 - about 2 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 1447385166 NPPES
California MEDICAID RN474034

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