Individual
LISA EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1580 VALENCIA ST, STE 508, SAN FRANCISCO, CA 94110-4423
(415) 641-2140
(415) 641-2150
Mailing address
PO BOX 60000, FILE 74175, SAN FRANCISCO, CA 94160-0001
(415) 641-2177
(415) 641-2190
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A63222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A63222
MEDICAL LICENSE
CA
Enumeration date
11/01/2006
Last updated
08/09/2010
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