| Doctor Name: | MRS. LISA VICTORIA RANDON-WALKER |
| NPI Number: | 1033355938 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, PHN |
| License Number: | 677112 |
| Business Practice Address: | 597 Center Ave Suite 150 Martinez, CA - 945534640 |
| Business Phone Number: | 9253136962 |
| Business Fax Number: | 9253136029 |
| Mailing Address: | 597 Center Ave, Suite 150 MARTINEZ |
| State: | CA |
| Postal Code: | 945534640 |
| Phone Number: | 9253136962 |
| Fax Number: | 9253136029 |
| NPI Enumeration Date: | 12/23/2008 |
| NPI Last Update Date: | 12/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 677112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |