Organization
LISA NHAN DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NHAN DPM (PRESIDENT)
(626) 377-8363
Entity
Organization
Contact information
Practice address
2073 ATLANTIC AVE, LONG BEACH, CA 90806-4935
(626) 377-8363
Mailing address
2073 ATLANTIC AVE, LONG BEACH, CA 90806-4935
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
05/04/2021
Last updated
04/25/2022
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