Individual
LISA ANNE MARIE MONGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3277
Mailing address
2806 NICHOLS CANYON RD, LOS ANGELES, CA 90046-1309
(919) 265-9891
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
23003
CA
Other
Enumeration date
04/29/2013
Last updated
12/01/2021
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