Organization
DR. LISA PIEROTTI HEALTHSOURCE CHIROPRACTIC AND NUTRITION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA CAROL PIEROTTI DC (PRESIDENT)
(650) 802-8700
Entity
Organization
Contact information
Practice address
1168 EL CAMINO REAL, SAN CARLOS, CA 94070-5001
(650) 802-8700
(650) 802-8712
Mailing address
1168 EL CAMINO REAL, SAN CARLOS, CA 94070-5001
(650) 802-8700
(650) 802-8712
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC29148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801921648
INDIVIDUAL NPI NUMBER, NOT CORPORATION
CA
Enumeration date
04/06/2009
Last updated
04/06/2009
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