Individual
LISE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 N 1ST AVE, SUITE B, ARCADIA, CA 91006
(626) 598-3770
(626) 598-3770
Mailing address
1015 N 1ST AVE, SUITE B, ARCADIA, CA 91006
(626) 598-3770
(626) 598-3797
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2025-00021
NC
2084N0400X
Neurology Physician
A147823
CA
2084N0400X
Neurology Physician
Primary
DR.0064212
CO
2084N0400X
Neurology Physician
MED-PHYS-LIC-85782
MT
2084N0600X
Clinical Neurophysiology Physician
A147823
CA
Other
Enumeration date
05/01/2015
Last updated
05/21/2025
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