Individual
DR. LISA R FORTUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3390 UNIVERSITY AVE STE 115, RIVERSIDE, CA 92501-3315
(844) 827-8000
Mailing address
3390 UNIVERSITY AVE STE 115, RIVERSIDE, CA 92501-3315
(844) 827-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
210650
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
210650
MA
Other
Enumeration date
05/04/2006
Last updated
01/08/2024
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