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Lise Phan, MD
Neurology Physician in Arcadia, California
NPI 1487031100

Lise Phan is a Neurology Physician based in Arcadia, CA and is specialized in Neurology. Lise Phan practices in Arcadia, CA and has the professional credentials of MD. The NPI Number for Lise Phan is 1487031100 and holds a License No. MED-PHYS-LIC-85782 (California).

The current practice location address for Lise Phan is 1015 N 1St Ave, Arcadia, CA and can be reached out via phone at 626-598-3770 and via fax at 626-598-3770.

Location: 1015 N 1St Ave, Arcadia, CA, 91006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487031100
Provider Name
Lise Phan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1015 N 1St Ave, Arcadia, CA, 91006
Phone Number
626-598-3770
Fax Number
626-598-3770
Provider Enumeration Date
05/01/2015
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
1015 N 1St Ave
City
Arcadia
State
California
Zip
91006
Phone Number
626-598-3770
Fax Number
626-598-3770
person
Provider Business Mailing Address Details
Address
1015 N 1St Ave
City
Arcadia
State
California
Zip
91006
Phone Number
626-598-3770
Fax Number
626-598-3770
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
A147823 (California)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
MED-PHYS-LIC-85782 (Montana)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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