Organization
DR. LISA PIEROTTI HEALTHSOURCE CHIROPRACTIC AND NUTRITION, INC.
Active
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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