Individual
MS. LISA M PLOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA10878
OH
363LF0000X
Family Nurse Practitioner
95005944
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95005944
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2990072
—
OH
Enumeration date
09/06/2009
Last updated
10/31/2018
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