Green, Lisa Diane

Green, Lisa Diane is an individual health care provider with primary practice located at 150 Portola Rd Ste. B, Portola Valley CA 94028-7852. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Green, Lisa Diane can be contacted via phone (650) 851-1145.

Contact Information

Primary practice address
150 Portola Rd Ste. B Portola Valley CA 94028-7852
Phone: (650) 851-1145
Fax: (650) 851-9251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT18800 California

Profile Details

NPI number 1528193240
LBN Legal business name Green, Lisa Diane
Credentials MOMT, MPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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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