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Lisa Anne Marie Mongeon, NP
Acute Care Nurse Practitioner in West Hollywood, California
NPI 1992149314

Lisa Anne Marie Mongeon is an Acute Care Nurse Practitioner based in Los Angeles, CA and is specialized in Acute Care. Lisa Anne Marie Mongeon practices in West Hollywood, CA and has the professional credentials of NP. The NPI Number for Lisa Anne Marie Mongeon is 1992149314 and holds a License No. 23003 (California).

The current practice location address for Lisa Anne Marie Mongeon is 8700 Beverly Blvd, West Hollywood, CA and can be reached out via phone at 310-423-3277.

Location: 8700 Beverly Blvd, West Hollywood, CA, 90046-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992149314
Provider Name
Lisa Anne Marie Mongeon
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8700 Beverly Blvd, West Hollywood, CA, 90046-1309
Phone Number
310-423-3277
Fax Number
Provider Enumeration Date
04/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8700 Beverly Blvd
City
West Hollywood
State
California
Zip
90048-1804
Phone Number
310-423-3277
Fax Number
person
Provider Business Mailing Address Details
Address
8700 Beverly Blvd
City
West Hollywood
State
California
Zip
90048-1804
Phone Number
310-423-3277
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
23003 (California)
Definition
Definition to come...
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