Individual
LISA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 PALM AVE, IMPERIAL BEACH, CA 91932-1229
(619) 424-5106
(619) 424-3648
Mailing address
10188 FABLED WATERS CT, SPRING VALLEY, CA 91977-3458
(619) 948-7762
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
19868
CA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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