Medlock, Myrn Lisa

Medlock, Myrn Lisa is an individual health care provider with primary practice located at 660 E Los Angeles Ave Ste B2 , Simi Valley CA 93065-1884. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Medlock, Myrn Lisa can be contacted via phone (805) 578-1111.

Contact Information

Primary practice address
660 E Los Angeles Ave Ste B2 Simi Valley CA 93065-1884
Fax: (805) 578-1104
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 410535 California

Profile Details

NPI number 1427230630
LBN Legal business name Medlock, Myrn Lisa
Credentials RN, PHN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Nov 29th, 2007 - about 17 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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