Kucera, Lisa Christine Gavin

Kucera, Lisa Christine Gavin is an individual health care provider with primary practice located at 2485 Hospital Dr Ste 321 , Mountain View CA 94040-4103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kucera, Lisa Christine Gavin can be contacted via phone (650) 988-7830.

Contact Information

Primary practice address
2485 Hospital Dr Ste 321 Mountain View CA 94040-4103
Phone: (650) 988-7830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22920 California

Profile Details

NPI number 1588905236
LBN Legal business name Kucera, Lisa Christine Gavin
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2013
Last updated Aug 12th, 2015 - about 11 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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