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1043375231
LISA J WASTILA
SAN DIEGO, CA
NPI
1043375231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A60801)
Enumeration Date
2006-12-27
Last Update Date
2017-01-24
Business Address
Dr. LISA J WASTILA M.D.
200 WEST ARBOR DRIVE MC 8811
SAN DIEGO, CA 92103-8811
Phone number: 619-543-6283
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Mailing Address
Dr. LISA J WASTILA M.D.
PO BOX 232410 MC 8811
SAN DIEGO, CA 92193-2410
Phone number: 858-249-6747
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