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Individual
LISA S. SICHERMAN
Active
Individual
LISA S. SICHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
503871
CA
363L00000X
Nurse Practitioner
Primary
13021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659434074
NPI
CA
Enumeration date
12/18/2006
Last updated
11/12/2020
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