Individual
LISA Y RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 S PALISADE DR, SANTA MARIA, CA 93454
(805) 739-3561
Mailing address
235 S PALISADE DR, SANTA MARIA, CA 93454-5948
(805) 739-3561
(805) 739-3560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A88086
CA
208M00000X
Hospitalist Physician
Primary
A88086
CA
Other
Enumeration date
06/30/2006
Last updated
11/03/2023
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