Derita, Lisa S

Derita, Lisa S is an individual health care provider with primary practice located at 1280 Central Blvd Ste J5 , Brentwood CA 94513-2362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Derita, Lisa S can be contacted via phone (925) 250-2908.

Contact Information

Primary practice address
1280 Central Blvd Ste J5 Brentwood CA 94513-2362
Phone: (925) 250-2908
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95025065 California

Profile Details

NPI number 1033803408
LBN Legal business name Derita, Lisa S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2023
Last updated Jun 7th, 2023 - about 3 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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