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Dr. Lisa Raylene Fillis, ND
General Practice Physician in Long Beach, California
NPI 1346371721

Lisa Raylene Fillis is a General Practice Physician based in Long Beach, CA. Lisa Raylene Fillis practices in Long Beach, CA and has the professional credentials of ND. The NPI Number for Lisa Raylene Fillis is 1346371721 and holds a License No. ND11 (California).

The current practice location address for Lisa Raylene Fillis is 4301 Atlantic Ave Ste 5, Long Beach, CA and can be reached out via phone at 562-533-1909 and via fax at 323-372-3836.

Location: 4301 Atlantic Ave Ste 5, Long Beach, CA, 90807-2833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346371721
Provider Name
Lisa Raylene Fillis
Credential
ND
Provider Entity Type
Individual
Gender
Female
Address
4301 Atlantic Ave Ste 5, Long Beach, CA, 90807-2833
Phone Number
562-533-1909
Fax Number
323-372-3836
Provider Enumeration Date
03/08/2007
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
4301 Atlantic Ave Ste 5
City
Long Beach
State
California
Zip
90807-2833
Phone Number
562-533-1909
Fax Number
323-372-3836
person
Provider Business Mailing Address Details
Address
4301 Atlantic Ave Ste 5
City
Long Beach
State
California
Zip
90807-2833
Phone Number
562-533-1909
Fax Number
323-372-3836
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ND11 (California)
Definition
Definition to come...
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