Moreno, Lisa

Moreno, Lisa is an individual health care provider with primary practice located at 203 S San Mateo St , Redlands CA 92373-5030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moreno, Lisa can be contacted via phone (909) 855-1677.

Contact Information

Primary practice address
203 S San Mateo St Redlands CA 92373-5030
Phone: (909) 855-1677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17772 California

Profile Details

NPI number 1780864967
LBN Legal business name Moreno, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Aug 27th, 2009 - about 17 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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