Individual
ALICE LISE WEKALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1814 W LINCOLN AVENUE, ANAHEIM, CA 92801-6730
(714) 780-5690
(714) 780-5696
Mailing address
1600 E HILL STREET, SIGNAL HILL, CA 90755-3682
(562) 424-6200
(562) 427-4634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WPA11310M
—
CA
Enumeration date
10/12/2006
Last updated
07/08/2007
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