Individual provider · Type 1 NPI

Lisa Whitesell

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

NPI number 1629823968 Active

Practice location

31760 Casino Dr Ste 100
Lake Elsinore, CA 92530-4561

Call (951) 471-4600 Map

Mailing address

36216 Pursh Dr
Lake Elsinore, CA 92532-2518

Other practice locations

  • 85 Ramona Expy Ste 13, Perris, CA 92571-7014 · (951) 349-4195

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.

6 other providers at this address

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About NPI 1629823968

Lisa Whitesell's National Provider Identifier is 1629823968, issued on Apr 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lake Elsinore, CA. The record was last updated on May 18, 2025.