LISA IMOTO, NP
Nurse Practitioner
Active
Individual
NPI: 1639568363
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | No | 95000890 (CA) |
| Nurse Practitioner | 363L00000X | Yes | 95000890 (CA) |
Frequently Asked Questions
NPI 1639568363 is the National Provider Identifier for LISA IMOTO, NP, a Nurse Practitioner provider located in Stanford, CA. This NPI was enumerated on January 19, 2015.
LISA IMOTO, NP practices at 300 PASTEUR DR, Stanford, CA 94305.
Quick Facts
- NPI
- 1639568363
- Type
- Individual
- Enumerated
- Jan 19, 2015
- Last Updated
- Dec 30, 2025
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