Individual
LISA L LUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 E HARDY ST STE 205, INGLEWOOD, CA 90301-4021
(310) 671-6364
(217) 545-7127
Mailing address
12746 PACIFIC AVE APT 2, LOS ANGELES, CA 90066-4237
(503) 422-7184
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085-002708
IL
363AM0700X
Medical Physician Assistant
Primary
20985
CA
Other
Enumeration date
10/10/2005
Last updated
03/01/2018
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