Individual
LISA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST., LOS ANGELES, CA 90033
(323) 409-7928
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
22874
CA
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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