| Doctor Name: | MRS. LISA ELLEN SORENSEN |
| NPI Number: | 1023189354 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP, MSN |
| License Number: | RN324198 |
| Business Practice Address: | 700 Garden View Ct Suite 102 Encinitas, CA - 920242478 |
| Business Phone Number: | 7604368881 |
| Business Fax Number: | |
| Mailing Address: | 527 Hardell Ln, VISTA |
| State: | CA |
| Postal Code: | 920846622 |
| Phone Number: | 7602713202 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN324198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |