Stark, Lysa
Stark, Lysa is an individual health care provider with primary practice located at 17922 Magnolia St , Fountain Valley CA 92708. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Stark, Lysa can be contacted via phone (714) 887-7009.Contact Information
Primary practice address
17922 Magnolia St
Fountain Valley CA 92708
Phone: (714) 887-7009
Fax: (714) 968-4384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC26109 | California |
Profile Details
| NPI number | 1598880270 |
|---|---|
| LBN Legal business name | Stark, Lysa |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Apr 23rd, 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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