Individual provider · Type 1 NPI
Lisa Moreno
Family Nurse Practitioner · Redlands, CA
NPI number
1780864967
Active
Practice location
203 S San Mateo St
Redlands, CA 92373-5030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 17772 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1780864967
Lisa Moreno's National Provider Identifier is 1780864967, issued on Nov 6, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redlands, CA. The record was last updated on Aug 27, 2009.