Mongeon, Lisa Anne Marie

Mongeon, Lisa Anne Marie is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mongeon, Lisa Anne Marie can be contacted via phone (310) 423-3277.

Contact Information

Primary practice address
8700 Beverly Blvd West Hollywood CA 90048-1804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 23003 California

Profile Details

NPI number 1992149314
LBN Legal business name Mongeon, Lisa Anne Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2013
Last updated Dec 1st, 2021 - about 3 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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