Individual
MRS. LISA LYNN BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4741 MOORPARK WAY, SACRAMENTO, CA 95842-3146
(916) 332-3459
Mailing address
4741 MOORPARK WAY, SACRAMENTO, CA 95842-3146
(916) 332-3459
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
603531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS015840
—
CA
05
—
RVN004060
—
CA
Enumeration date
06/19/2007
Last updated
07/08/2007
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