Organization
LISA HUMPHREYS MD MPH, PHYSICIAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE HUMPHREYS MD (PRESIDENT)
(310) 779-7156
Entity
Organization
Contact information
Practice address
1300 W 7TH STREET, SAN PEDRO, CA 90732
(310) 779-7156
Mailing address
PO BOX 237, 1536 W. 25TH ST., SAN PEDRO, CA 90732
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
10/27/2023
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