Park, Lisa

Park, Lisa is an sole proprietor health care provider with primary practice located at 5 Bon Air Rd Ste 101 , Larkspur CA 94939-1134. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Park, Lisa can be contacted via phone (415) 924-2515.

Contact Information

Primary practice address
5 Bon Air Rd Ste 101 Larkspur CA 94939-1134
Phone: (415) 924-2515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 57.027085 Ohio
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A168789 California

Profile Details

NPI number 1568857142
LBN Legal business name Park, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2015
Last updated Dec 3rd, 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.

Request for update

Popular Providers