Ponsford, Lisa R

Ponsford, Lisa R is an individual health care provider with primary practice located at 660 Baker St Ste A102 , Costa Mesa CA 92626-4407. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ponsford, Lisa R can be contacted via phone (714) 668-2505.

Contact Information

Primary practice address
660 Baker St Ste A102 Costa Mesa CA 92626-4407
Phone: (714) 668-2505
Fax: (714) 668-2515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 12340 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12340 California
Nursing Service Providers / Registered Nurse 163W00000X 506021 California

Profile Details

NPI number 1720004088
LBN Legal business name Ponsford, Lisa R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 18th, 2023 - about last year

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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