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1780210989
LISA LAM SPARKS
FONTANA, CA
NPI
1780210989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95014189)
Enumeration Date
2020-03-19
Last Update Date
2023-08-24
Business Address
LISA LAM SPARKS NP
16465 SIERRA LAKES PKWY
FONTANA, CA 92336-1242
Phone number: 909-434-1150
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Mailing Address
LISA LAM SPARKS NP
16465 SIERRA LAKES PKWY
FONTANA, CA 92336-1242
Phone number: 909-434-1150
Copy
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