Lisa Deng AGPCNP

NPI 1750787156 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1750787156
Gender Female
Enumeration Date 11/12/2014
Last Updated 11/12/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1551 BISHOP ST STE 310
SAN LUIS OBISPO CA, 93401-4637, US
Phone (805) 242-4455
Fax (805) 542-9589
Business Location
1551 BISHOP ST STE 310
SAN LUIS OBISPO CA, 93401-4637, US
Phone (805) 242-4455
Fax (805) 542-9589
Toxanomy
Taxonomy Code 363LA2200X
License State California
License Number 95001507
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According to our database, Lisa Deng AGPCNP NPI is 1750787156, taxonomy code is 363LA2200X and license number is 95001507, license state is located at California. Lisa Deng AGPCNP physically located at 1551 Bishop St Ste 310, San Luis Obispo CA, 93401-4637. NPI Number Lisa Deng AGPCNP has the Individual type.

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1750787156 NPI number is provided on an as is basis without warranty of any kind. 1750787156 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Deng AGPCNP are for informational purposes only.