LISA MARK
Physician Assistant
Active
Individual
NPI: 1851679674
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA12333 (CA) |
Frequently Asked Questions
NPI 1851679674 is the National Provider Identifier for LISA MARK, a Physician Assistant provider located in Los Angeles, CA. This NPI was enumerated on July 27, 2011.
LISA MARK practices at 1441 EASTLAKE AVE, NOR 8302E, Los Angeles, CA 90089.
Quick Facts
- NPI
- 1851679674
- Type
- Individual
- Enumerated
- Jul 27, 2011
- Last Updated
- Mar 8, 2016
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