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Individual

DR. LISA JO SHIVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1853 LYNDON RD, SAN DIEGO, CA 92103-1644
(619) 944-7532
(619) 566-4432
Mailing address
1853 LYNDON RD, SAN DIEGO, CA 92103-1644
(619) 944-7532
(619) 566-4432

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
C131956
CA

Other

Enumeration date
02/13/2007
Last updated
12/04/2020
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