Warren, Lisa

Warren, Lisa is an individual health care provider with primary practice located at 795 E. Second Street Suite 5, Pomona CA 91766-2007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Warren, Lisa can be contacted via phone (909) 865-2565.

Contact Information

Primary practice address
795 E. Second Street Suite 5 Pomona CA 91766-2007
Phone: (909) 865-2565
Fax: (909) 865-2599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L7596 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A11796 California

Profile Details

NPI number 1124080544
LBN Legal business name Warren, Lisa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 17th, 2011 - about 15 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 1124080544 NPPES
Texas Other 1656936-01 CSHCN
Texas MEDICAID 1656936-01 CSHCN
Texas Other 20A11796 CSHCN
Texas Other 8M1115 CSHCN

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