Warren, Lisa
Warren, Lisa is an individual health care provider with primary practice located at 795 E. Second Street Suite 5, Pomona CA 91766-2007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Warren, Lisa can be contacted via phone (909) 865-2565.Contact Information
Primary practice address
795 E. Second Street Suite 5
Pomona CA 91766-2007
Phone: (909) 865-2565
Fax: (909) 865-2599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L7596 | Texas |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20A11796 | California |
Profile Details
NPI number | 1124080544 |
---|---|
LBN Legal business name | Warren, Lisa |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Nov 17th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124080544 | NPPES |
Texas | Other | 1656936-01 | CSHCN |
Texas | MEDICAID | 1656936-01 | CSHCN |
Texas | Other | 20A11796 | CSHCN |
Texas | Other | 8M1115 | CSHCN |
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