Individual
LISA D. GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 752-1000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A53692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A536920
—
CA
Enumeration date
11/17/2006
Last updated
07/08/2007
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