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Lisa Sullivan
Specialist in Mission Viejo, California
NPI 1144579418

Lisa Sullivan is a Specialist based in Mission Viejo, CA. Lisa Sullivan practices in Mission Viejo, CA. The NPI Number for Lisa Sullivan is 1144579418 and holds a License No. OTA2143 (California).

The current practice location address for Lisa Sullivan is 252 California Ct, Mission Viejo, CA and can be reached out via phone at 949-697-9228.

Location: 252 California Ct, Mission Viejo, CA, 92692-4098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144579418
Provider Name
Lisa Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
252 California Ct, Mission Viejo, CA, 92692-4098
Phone Number
949-697-9228
Fax Number
Provider Enumeration Date
09/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
252 California Ct
City
Mission Viejo
State
California
Zip
92692-4098
Phone Number
949-697-9228
Fax Number
person
Provider Business Mailing Address Details
Address
252 California Ct
City
Mission Viejo
State
California
Zip
92692-4098
Phone Number
949-697-9228
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OTA2143 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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