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Individual

LISA ONEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2415 W VINE ST STE 100, LODI, CA 95242-3731
(209) 333-3135
Mailing address
2415 W VINE ST STE 100, LODI, CA 95242-3731
(209) 333-3135

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN438988
CA

Other

Enumeration date
08/14/2006
Last updated
04/07/2014
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