person
Lisa Marie Hanson
Family Nurse Practitioner in Fontana, California
NPI 1013676048

Lisa Marie Hanson is a Family Nurse Practitioner based in Fontana, CA and is specialized in Family. Lisa Marie Hanson practices in Fontana, CA. The NPI Number for Lisa Marie Hanson is 1013676048 and holds a License No. 95019039 (California).

The current practice location address for Lisa Marie Hanson is 16465 Sierra Lakes Pkwy Ste 275, Fontana, CA and can be reached out via phone at 909-823-8000.

Location: 16465 Sierra Lakes Pkwy Ste 275, Fontana, CA, 92336-1263
person
Provider Profile Details
NPI Number
1013676048
Provider Name
Lisa Marie Hanson
Credential
Provider Entity Type
Individual
Gender
Female
Address
16465 Sierra Lakes Pkwy Ste 275, Fontana, CA, 92336-1263
Phone Number
909-823-8000
Fax Number
Provider Enumeration Date
12/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16465 Sierra Lakes Pkwy Ste 275
City
State
Zip
92336-1263
Phone Number
909-823-8000
Fax Number
person
Provider Business Mailing Address Details
Address
16465 Sierra Lakes Pkwy Ste 275
City
State
Zip
92336-1263
Phone Number
909-823-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95019039 (California)
Definition
Definition to come...
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