Individual
LISA KINSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(213) 300-6200
Mailing address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(213) 300-6200
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
831038
CA
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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