Individual
DR. LISA JUNE MOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 HIGUERA ST, SAN LUIS OBISPO, CA 93401-2917
(805) 541-2368
(805) 541-2553
Mailing address
901 OAK PARK BLVD STE 202, PISMO BEACH, CA 93449-3410
(805) 481-1368
(805) 481-8013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A55137
CA
207Y00000X
Otolaryngology Physician
Primary
A55137
CA
Other
Enumeration date
06/16/2005
Last updated
11/03/2023
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