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Individual

DR. KAREN H TISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
44241 15TH ST W, STE. 201, LANCASTER, CA 93534-4037
(661) 949-5955
(661) 949-5958
Mailing address
44241 15TH ST W, STE. 201, LANCASTER, CA 93534-4037
(661) 949-5955
(661) 949-5958

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G44211
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G442110
CA
Enumeration date
05/21/2006
Last updated
08/12/2010
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