Individual
DR. LISA RAYLENE FILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4301 ATLANTIC AVE STE 5, LONG BEACH, CA 90807-2833
(562) 533-1909
(323) 372-3836
Mailing address
4301 ATLANTIC AVE STE 5, LONG BEACH, CA 90807-2833
(562) 533-1909
(323) 372-3836
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ND11
CA
Other
Enumeration date
03/08/2007
Last updated
08/28/2024
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