Marquez, Lisa

Marquez, Lisa is an individual health care provider with primary practice located at 82485 Miles Ave , Indio CA 92201. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Marquez, Lisa can be contacted via phone (760) 342-8200.

Contact Information

Primary practice address
82485 Miles Ave Indio CA 92201
Phone: (760) 342-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 609156 California

Profile Details

NPI number 1629387121
LBN Legal business name Marquez, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2010
Last updated Jul 26th, 2019 - about 5 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 1629387121 NPPES
California MEDICAID 1124100383

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