Individual provider · Type 1 NPI
Lisa S. Park, NP
Acute Care Nurse Practitioner · Los Angeles, CA
NPI number
1225549082
Active
Practice location
757 Westwood Plz
Los Angeles, CA 90095-8358
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice locations
- 300 Pasteur Dr, Palo Alto, CA 94305 · (650) 723-4000
- 1301 20th St Ste 150, Santa Monica, CA 90404-2050 · (310) 582-7641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209011661 (IL) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95008110 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1225549082
Lisa S. Park, NP's National Provider Identifier is 1225549082, issued on Oct 19, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Los Angeles, CA. The record was last updated on May 9, 2022.