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Individual

DR. LISA B CASSILETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
436 N BEDFORD DR, #103, BEVERLY HILLS, CA 90210-4310
(310) 278-8200
(310) 278-8230
Mailing address
436 N BEDFORD DR, #103, BEVERLY HILLS, CA 90210-4310
(310) 278-8200
(310) 278-8230

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A817060
CA
Enumeration date
08/10/2005
Last updated
07/09/2007
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