Individual
DR. LISA LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-5626
(916) 474-2201
Mailing address
515 FAIRCHILD CT, WOODLAND, CA 95695-5164
(530) 668-2605
(530) 662-3058
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A063348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ13240Z
GROUP PTAN
CA
Enumeration date
11/17/2005
Last updated
03/28/2023
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