Gantz, Lisa Nicole

Gantz, Lisa Nicole is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gantz, Lisa Nicole can be contacted via phone (310) 423-4780.

Contact Information

Primary practice address
8700 Beverly Blvd West Hollywood CA 90048-1804
Phone: (310) 423-4780
Fax: (310) 423-0145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 145424 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A145424 California

Profile Details

NPI number 1679968887
LBN Legal business name Gantz, Lisa Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2015
Last updated Jul 3rd, 2019 - about 7 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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