LISA MICHELLE KOTLER

LA HABRA, CA
NPI1801349774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  59311)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: DE  C5-0001080)
Enumeration Date2016-07-27
Last Update Date2021-05-19
Business Address
Mrs. LISA MICHELLE KOTLER PA-C
1040 W IMPERIAL HWY
LA HABRA, CA 90631-0608
Phone number: 715-451-1072
Mailing Address
Mrs. LISA MICHELLE KOTLER PA-C
2403 RALSTON LN
REDONDO BEACH, CA 90278-5121
Phone number: 484-574-1011