Mathis, Lisa Lee

Mathis, Lisa Lee is an individual health care provider with primary practice located at 1 Amgen Center Dr Pediatric Clinic, Thousand Oaks CA 91320-1730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mathis, Lisa Lee can be contacted via phone (805) 279-9046.

Contact Information

Primary practice address
1 Amgen Center Dr Pediatric Clinic Thousand Oaks CA 91320-1730
Phone: (805) 279-9046
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD30333 District of Columbia

Profile Details

NPI number 1528134483
LBN Legal business name Mathis, Lisa Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated May 21st, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528134483 NPPES
District of Columbia Other MD30333 MEDICAL LICENSE

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