Lisa A Brockman DO

NPI 1063417798 - Hospitalist - 208M00000X

NPI Details
NPI 1063417798
Gender Female
Enumeration Date 06/17/2005
Last Updated 09/17/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD CA, 90262-3625, US
Phone (310) 632-0415
Fax (310) 639-2734
Business Location
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD CA, 90262-3625, US
Phone (310) 632-0415
Fax (310) 639-2734
Toxanomy
Taxonomy Code 208M00000X
License State California
License Number 20A806
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According to our database, Dr. Lisa A Brockman DO NPI is 1063417798, taxonomy code is 208M00000X and license number is 20A806, license state is located at California. Lisa A Brockman DO physically located at 3820 Martin Luther King Jr Blvd, Lynwood CA, 90262-3625. NPI Number Lisa A Brockman DO has the Individual type.

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1063417798 NPI number is provided on an as is basis without warranty of any kind. 1063417798 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa A Brockman DO are for informational purposes only.