| Doctor Name: | LISA FLORO RIVARD |
| NPI Number: | 1023261351 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CDE |
| License Number: | RN369595 |
| Business Practice Address: | 425 N Date St Escondido, CA - 920253413 |
| Business Phone Number: | 7605183978 |
| Business Fax Number: | 8586265630 |
| Mailing Address: | 425 N Date St, ESCONDIDO |
| State: | CA |
| Postal Code: | 920253413 |
| Phone Number: | 7605183978 |
| Fax Number: | 8586265630 |
| NPI Enumeration Date: | 10/30/2008 |
| NPI Last Update Date: | 10/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | RN369595 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |