Mumford, Lisa Bourbeau

Mumford, Lisa Bourbeau is an individual health care provider with primary practice located at 833 Broadway Suite 100, El Cajon CA 92021-4668. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Mumford, Lisa Bourbeau can be contacted via phone (619) 447-7774.

Contact Information

Primary practice address
833 Broadway Suite 100 El Cajon CA 92021-4668
Phone: (619) 447-7774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 20702 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT 20702 California

Profile Details

NPI number 1730328600
LBN Legal business name Mumford, Lisa Bourbeau
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2009
Last updated Feb 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730328600 NPPES
California Other PT 20702 PHYSICAL THERAPY

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