Individual
MS. LISA MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
5657 SPUR AVE, OCEANSIDE, CA 92057-5799
(760) 630-7884
(760) 630-8598
Mailing address
5657 SPUR AVE, OCEANSIDE, CA 92057-5799
(760) 630-7884
(760) 630-8598
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
781321
CA
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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