Individual
MS. LISA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPCP
Contact information
Practice address
1225 MARIN AVE, ALBANY, CA 94706-2044
(510) 900-1172
Mailing address
3027 CLAREMONT AVE, BERKELEY, CA 94705-2634
(510) 900-1172
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
246ZA2600X
Medical Art Specialist/Technologist
PT0314282
CA
Other
Enumeration date
03/03/2017
Last updated
02/05/2024
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