Individual
LISA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
648 OCEAN PARK BLVD APT A, SANTA MONICA, CA 90405-3792
(310) 428-7049
Mailing address
648 OCEAN PARK BLVD APT A, SANTA MONICA, CA 90405-3792
(310) 428-7049
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
DIPLOMA
CA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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