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Lisa Monique Bodon, MD
Obstetrics & Gynecology Physician in Palm Springs, California
NPI 1063619013

Lisa Monique Bodon is a Obstetrics & Gynecology Physician based in Palm Springs, CA. Lisa Monique Bodon practices in Palm Springs, CA and has the professional credentials of MD. The NPI Number for Lisa Monique Bodon is 1063619013 and holds a License No. A97869 (California).

The current practice location address for Lisa Monique Bodon is 555 E Tachevah Dr, Palm Springs, CA and can be reached out via phone at 760-323-9309 and via fax at 760-610-8995.

Location: 555 E Tachevah Dr, Palm Springs, CA, 92262-5750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063619013
Provider Name
Lisa Monique Bodon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
555 E Tachevah Dr, Palm Springs, CA, 92262-5750
Phone Number
760-323-9309
Fax Number
760-610-8995
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A978690 05 CA
GR0042690 05 CA
ZZZ50078Y 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
555 E Tachevah Dr
City
Palm Springs
State
California
Zip
92262-5750
Phone Number
760-323-9309
Fax Number
760-610-8995
person
Provider Business Mailing Address Details
Address
555 E Tachevah Dr
City
Palm Springs
State
California
Zip
92262-5750
Phone Number
760-323-9309
Fax Number
760-610-8995
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
A97869 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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