Individual
LISA BRAGDON PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-2110
(323) 668-7927
Mailing address
3701 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90010-2804
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A73324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A733240
—
CA
Enumeration date
09/01/2006
Last updated
11/29/2021
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