Individual provider · Type 1 NPI

Lissa Dawn Tryer

Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI number 1023326832 Active

Practice location

3282 Adeline St
Berkeley, CA 94703-2439

Call (510) 981-5280 Map

Fax (510) 981-5255

Mailing address

1947 Center St Fl 3
Berkeley, CA 94704-1169

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023326832

Lissa Dawn Tryer's National Provider Identifier is 1023326832, issued on Sep 15, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Oct 8, 2010.