Individual
LISA MICHELLE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N STATE ST, LOS ANGELES, CA 90033-5000
(323) 409-3253
Mailing address
1100 N STATE ST, LOS ANGELES, CA 90033-5000
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
503702
CA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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