Individual
LISA MARIE KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2059
(424) 306-4130
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2059
(424) 306-4130
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
487014
CA
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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