LISA SUSAN MARK

LOS ANGELES, CA
NPI1851679674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA12333)
Enumeration Date2011-07-27
Last Update Date2016-03-08
Business Address
-- LISA SUSAN MARK
1441 EASTLAKE AVE NOR 8302E
LOS ANGELES, CA 90089-0112
Phone number: 323-865-3000
Mailing Address
-- LISA SUSAN MARK
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-3105
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