Youngblood, Lisa Anne

Youngblood, Lisa Anne is an individual health care provider with primary practice located at 1055 Wilshire Blvd Ste 1705 , Los Angeles CA 90017-5600. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Youngblood, Lisa Anne can be contacted via phone (310) 871-0670.

Contact Information

Primary practice address
1055 Wilshire Blvd Ste 1705 Los Angeles CA 90017-5600
Phone: (310) 871-0670
Fax: (619) 667-0815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN481125 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP11105 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11011940 Florida

Profile Details

NPI number 1801843941
LBN Legal business name Youngblood, Lisa Anne
Credentials RN NP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Feb 3rd, 2023 - about 3 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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