Medina, Lisa M

Medina, Lisa M is an sole proprietor health care provider with primary practice located at 215 W Beamer St , Woodland CA 95695-2510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Medina, Lisa M can be contacted via phone (530) 405-2815.

Contact Information

Primary practice address
215 W Beamer St Woodland CA 95695-2510
Phone: (530) 405-2815
Fax: (530) 204-5255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1298150318 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A063381123 California

Profile Details

NPI number 1831688472
LBN Legal business name Medina, Lisa M
Credentials RH0010460323
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2018
Last updated Nov 3rd, 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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