Rood, Lisa D

Rood, Lisa D is an individual health care provider with primary practice located at 2400 Balfour Rd Suite 229, Brentwood CA 94513-4945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rood, Lisa D can be contacted via phone (925) 308-8113.

Contact Information

Primary practice address
2400 Balfour Rd Suite 229 Brentwood CA 94513-4945
Phone: (925) 308-8113
Fax: (925) 308-8701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A81020 California

Profile Details

NPI number 1891719035
LBN Legal business name Rood, Lisa D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 12th, 2014 - about 12 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 1891719035 NPPES
California MEDICAID 00A810200

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