Individual
MRS. LISA DIANNE HINEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1245 WILSHIRE BLVD STE 303, LOS ANGELES, CA 90017-4803
(213) 977-1214
(213) 482-8868
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
(323) 254-0046
(323) 488-9782
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NPF 13556
CA
Other
Enumeration date
12/22/2006
Last updated
01/11/2019
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