LISA R PONSFORD

COSTA MESA, CA
NPI1720004088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  12340)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CA  12340)
163W00000X Registered Nurse
(Licence: CA  506021)
Enumeration Date2006-07-13
Last Update Date2023-08-18
Business Address
LISA R PONSFORD N.P.
660 BAKER ST STE A102
COSTA MESA, CA 92626-4407
Phone number: 714-668-2505
Mailing Address
LISA R PONSFORD N.P.
PO BOX 2218
SUISUN CITY, CA 94585-5218
Phone number: 657-241-3600