Individual
LISA ELAINE BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4542 LAS POSAS RD STE D, CAMARILLO, CA 93010-2521
(805) 322-8490
(805) 586-8066
Mailing address
5235 MISSION OAKS BLVD # 301, CAMARILLO, CA 93012-5400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A126474
CA
Other
Enumeration date
10/15/2012
Last updated
11/02/2023
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