Shane, Lisa

Shane, Lisa is an individual health care provider with primary practice located at 2801 Atlantic Ave , Long Beach CA 90806-1737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Shane, Lisa can be contacted via phone (562) 933-0713.

Contact Information

Primary practice address
2801 Atlantic Ave Long Beach CA 90806-1737
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G078893 California

Profile Details

NPI number 1316905235
LBN Legal business name Shane, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jan 11th, 2012 - 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.

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