LISA MARIE NAGEL

SAN DIEGO, CA
NPI1588862858
Professional NameLISA MARIE THAYER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A10841)
Enumeration Date2007-07-06
Last Update Date2021-12-01
Business Address
LISA MARIE NAGEL D.O.
4405 VANDEVER AVE
SAN DIEGO, CA 92120-3315
Phone number: 619-528-2583
Mailing Address
LISA MARIE NAGEL D.O.
4405 VANDEVER AVE
SAN DIEGO, CA 92120-3315
Phone number: 619-528-2583