Individual
CALLAN LISKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24022 ALISO CREEK RD, LAGUNA NIGUEL, CA 92677-3910
(949) 996-0510
Mailing address
1203 DANA, IRVINE, CA 92618-0242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
779009
CA
363LF0000X
Family Nurse Practitioner
Primary
95031377
CA
Other
Enumeration date
05/20/2024
Last updated
12/01/2024
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