Rivera, Lisa Marie

Rivera, Lisa Marie is an sole proprietor health care provider with primary practice located at 2350 Buhne St , Eureka CA 95501-3238. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Rivera, Lisa Marie can be contacted via phone (707) 443-4593.

Contact Information

Primary practice address
2350 Buhne St Eureka CA 95501-3238
Phone: (707) 443-4593
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8720 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 8720 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 718429 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA65595 California

Profile Details

NPI number 1467040204
LBN Legal business name Rivera, Lisa Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2021
Last updated Jun 5th, 2025 - about last year

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 1467040204 NPPES
Arizona MEDICAID 105817
Arizona Other PA65595

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