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Individual

DR. LISA D. GARBUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
400 NEWPORT CENTER DR STE 404, NEWPORT BEACH, CA 92660
(949) 640-2023
(949) 640-7182
Mailing address
400 NEWPORT CENTER DR STE 404, NEWPORT BEACH, CA 92660-7687
(949) 640-2023
(949) 640-7182

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A90909
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A90909
MEDICAL BOARD
CA
Enumeration date
02/10/2007
Last updated
09/04/2018
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