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Lisa Lam Sparks, NP
Family Nurse Practitioner in Fontana, California
NPI 1780210989

Lisa Lam Sparks is a Family Nurse Practitioner based in Fontana, CA and is specialized in Family. Lisa Lam Sparks practices in Fontana, CA and has the professional credentials of NP. The NPI Number for Lisa Lam Sparks is 1780210989 and holds a License No. 95014189 (California).

The current practice location address for Lisa Lam Sparks is 16465 Sierra Lakes Pkwy, Fontana, CA and can be reached out via phone at 909-434-1150.

Location: 16465 Sierra Lakes Pkwy, Fontana, CA, 92336-1242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780210989
Provider Name
Lisa Lam Sparks
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
16465 Sierra Lakes Pkwy, Fontana, CA, 92336-1242
Phone Number
909-434-1150
Fax Number
Provider Enumeration Date
03/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16465 Sierra Lakes Pkwy
City
Fontana
State
California
Zip
92336-1242
Phone Number
909-434-1150
Fax Number
person
Provider Business Mailing Address Details
Address
16465 Sierra Lakes Pkwy
City
Fontana
State
California
Zip
92336-1242
Phone Number
909-434-1150
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95014189 (California)
Definition
Definition to come...
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