Individual
LISA KRISTEN BOOHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(209) 342-2300
(209) 524-4240
Mailing address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A70556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A705560
—
CA
Enumeration date
11/02/2005
Last updated
12/17/2021
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