LISA MARIE FAYARD

LOMA LINDA, CA
NPI1124581491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: CA  A176532)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-12
Last Update Date2024-08-01
Business Address
LISA MARIE FAYARD MD
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-9532
Mailing Address
LISA MARIE FAYARD MD
820 E GILBERT ST
SAN BERNARDINO, CA 92415-2804
Phone number: 909-387-7200