Thomas, Lisa Marie

Thomas, Lisa Marie is an individual health care provider with primary practice located at 1800 N California St , Stockton CA 95204-6019. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Thomas, Lisa Marie can be contacted via phone (209) 943-2000.

Contact Information

Primary practice address
1800 N California St Stockton CA 95204-6019
Phone: (209) 943-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA54558 California

Profile Details

NPI number 1295264760
LBN Legal business name Thomas, Lisa Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2017
Last updated Mar 26th, 2021 - about 5 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 1295264760 NPPES
California MEDICAID 1295264760

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