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1225389117
LISA M ANDERSEN
NEWPORT BEACH, CA
NPI
1225389117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA22548)
Enumeration Date
2012-10-02
Last Update Date
2013-11-06
Business Address
-- LISA M ANDERSEN PAC
1441 AVACADO AVE 503
NEWPORT BEACH, CA 92660-7706
Phone number: 949-718-9020
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Mailing Address
-- LISA M ANDERSEN PAC
PO BOX 3699
NEWPORT BEACH, CA 92659-8699
Phone number: 949-574-4638
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