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Individual

LISA MICHELLE HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3000 COLBY ST STE 104, BERKELEY, CA 94705-2090
(510) 849-3800
(510) 849-3810
Mailing address
3000 COLBY ST STE 104, BERKELEY, CA 94705-2090
(510) 849-3800
(510) 849-3810

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5798
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/30/2018
Last updated
08/16/2021
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