Individual
MS. LISA GURAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
2921 SAVIERS RD, OXNARD, CA 93033-5314
(805) 487-5588
(805) 486-0038
Mailing address
349 ASH AVE, SPC 25, CARPINTERIA, CA 93013-2240
(805) 684-6587
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2944
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0029440
—
CA
05
—
RHM08608F
—
CA
05
—
RHM08609F
—
CA
05
—
RHM18553H
—
CA
05
—
ZZT40394F
—
CA
Enumeration date
11/29/2005
Last updated
07/09/2007
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