Individual
LORNA NISPEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Mailing address
1922 LATIGO WAY, STOCKTON, CA 95206-6146
(209) 982-5572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20811
CA
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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