Individual
LISA BEVERLY GIFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 WASHINGTON BLVD STE 110, MARINA DEL REY, CA 90292-5580
(313) 719-7069
Mailing address
137 S CANON DR APT 7, BEVERLY HILLS, CA, USA, BEVERLY HILLS, CA 90212
(313) 719-7069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F05230531
CA
Other
Enumeration date
05/30/2023
Last updated
09/11/2023
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