Individual
MS. LISA MARIE RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 583-7704
Mailing address
1650 COCHRANE CIR # B7500, FORT CARSON, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401608
NY
Other
Enumeration date
06/11/2013
Last updated
05/01/2025
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