Individual
LISA LORRAINE HAZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 S MAPLE ST STE 5, ESCONDIDO, CA 92025-4122
(760) 745-1713
(760) 745-1375
Mailing address
485 N CITRUS AVE, APT. 50, ESCONDIDO, CA 92027-2787
(877) 396-9447
(877) 476-6158
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT52191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00052191
CPT
CA
Enumeration date
12/05/2012
Last updated
06/20/2016
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