Individual
DR. LISA ANNE GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 VIA DE LA VALLE, SUITE 200, DEL MAR, CA 92014-1992
(858) 939-6561
(858) 874-2379
Mailing address
2600 VIA DE LA VALLE, SUITE 200, DEL MAR, CA 92014-1992
(858) 939-6561
(858) 874-2379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35560
NC
207RC0000X
Cardiovascular Disease Physician
A65766
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A65766
CA
Other
Enumeration date
01/13/2006
Last updated
06/01/2015
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