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Lisa Marie Fayard, MD
Student in an Organized Health Care Education/Training Program in Loma Linda, California
NPI 1124581491

Lisa Marie Fayard is a Student in an Organized Health Care Education/Training Program based in Loma Linda, CA. Lisa Marie Fayard practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Lisa Marie Fayard is 1124581491 and holds a License No. A176532 (California).

The current practice location address for Lisa Marie Fayard is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-9532. You can also correspond with Lisa Marie Fayard through the mailing address at 11234 ANDERSON ST, LOMA LINDA, CA - 92354-2804 (mailing address contact number: 909-783-4145).

Location: 11234 Anderson St, Loma Linda, CA, 92354-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124581491
Provider Name
Lisa Marie Fayard
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11234 Anderson St, Loma Linda, CA, 92354-2804
Phone Number
909-558-9532
Fax Number
Provider Enumeration Date
04/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-9532
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-9532
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
()
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A176532 (California)
Definition
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.
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