Ward, Lisa M.

Ward, Lisa M. is an individual health care provider with primary practice located at 1110 N Dutton Ave , Santa Rosa CA 95401-4606. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ward, Lisa M. can be contacted via phone (707) 303-3600.

Contact Information

Primary practice address
1110 N Dutton Ave Santa Rosa CA 95401-4606
Phone: (707) 303-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A080946 California

Profile Details

NPI number 1790768869
LBN Legal business name Ward, Lisa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 25th, 2018 - about 8 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 1790768869 NPPES
California MEDICAID 00A809460

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