Individual
LISA MARIE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2957 FRIED AVE, SAN DIEGO, CA 92122-2232
(920) 915-6869
Mailing address
2957 FRIED AVE, SAN DIEGO, CA 92122-2232
(920) 915-6869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95028820
CA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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