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Lisa Susan Mark
Physician Assistant in Los Angeles, California
NPI 1851679674

Lisa Susan Mark is a Physician Assistant based in Los Angeles, CA. Lisa Susan Mark practices in Los Angeles, CA. The NPI Number for Lisa Susan Mark is 1851679674 and holds a License No. PA12333 (California).

The current practice location address for Lisa Susan Mark is 1441 Eastlake Ave, Los Angeles, CA and can be reached out via phone at 323-865-3000.

Location: 1441 Eastlake Ave, Los Angeles, CA, 90031-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851679674
Provider Name
Lisa Susan Mark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1441 Eastlake Ave, Los Angeles, CA, 90031-0309
Phone Number
323-865-3000
Fax Number
Provider Enumeration Date
07/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0100430 01 CA GROUP MEDICAL
W18762 01 CA GROUP MEDICARE
1902846306 01 CA GROUP NPI
institution
Provider Business Practice Location Address Details
Address
1441 Eastlake Ave
City
Los Angeles
State
California
Zip
90089-0112
Phone Number
323-865-3000
Fax Number
person
Provider Business Mailing Address Details
Address
1441 Eastlake Ave
City
Los Angeles
State
California
Zip
90089-0112
Phone Number
323-865-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA12333 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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