Organization
LISA THOMSEN MD INC A PROFESSIONAL CORPORATION
Active
Other names
Lisa L. Thomsen M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA L THOMSEN MD (PRESIDENT CEO)
(626) 963-4149
Entity
Organization
Contact information
Practice address
210 S GRAND AVE STE 302, GLENDORA, CA 91741-4281
(626) 963-4149
(626) 963-9023
Mailing address
210 S GRAND AVE STE 302, GLENDORA, CA 91741-4281
(626) 963-4149
(626) 963-9023
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G63943
CA
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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