Individual
MS. LISA M TEEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2139 TAPO ST STE 210, SIMI VALLEY, CA 93063-3476
(805) 584-3000
Mailing address
2139 TAPO ST STE 210, SIMI VALLEY, CA 93063-3476
(805) 584-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95037271
CA
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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