Individual provider · Type 1 NPI
Lisa George
Primary Care Nurse Practitioner · Imperial Beach, CA
NPI number
1497051429
Active
Practice location
705 Palm Ave
Imperial Beach, CA 91932-1229
Fax (619) 424-3648
Mailing address
10188 Fabled Waters Ct
Spring Valley, CA 91977-3458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 19868 (CA) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1497051429
Lisa George's National Provider Identifier is 1497051429, issued on Feb 9, 2011. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Imperial Beach, CA. The record was last updated on Feb 9, 2011.