Individual
LISA CHRISTINE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7695 CARDINAL CT STE 240, SAN DIEGO, CA 92123-3357
(858) 277-9378
(858) 277-9370
Mailing address
1391 CLEMSON WAY, RIVERSIDE, CA 92507-2727
(858) 336-9981
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A11865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A11865
MEDICAL LICENSE
CA
Enumeration date
08/30/2011
Last updated
11/06/2018
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