Mathis, Lisa Lee
Mathis, Lisa Lee is an individual health care provider with primary practice located at 1 Amgen Center Dr Pediatric Clinic, Thousand Oaks CA 91320-1730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mathis, Lisa Lee can be contacted via phone (805) 279-9046.Contact Information
Primary practice address
1 Amgen Center Dr Pediatric Clinic
Thousand Oaks CA 91320-1730
Phone: (805) 279-9046
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD30333 | District of Columbia |
Profile Details
NPI number | 1528134483 |
---|---|
LBN Legal business name | Mathis, Lisa Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 24th, 2006 |
Last updated | May 21st, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528134483 | NPPES |
District of Columbia | Other | MD30333 | MEDICAL LICENSE |
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