Individual
LISA LINDVALL AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
990 PACIFIC ST, SAN LUIS OBISPO, CA 93401-6309
(805) 544-5567
(805) 544-5567
Mailing address
990 PACIFIC ST, SAN LUIS OBISPO, CA 93401-6309
(805) 544-5567
(805) 544-3265
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A106067
CA
Other
Enumeration date
12/29/2011
Last updated
11/30/2015
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