Doctor Name: | LISA MARIA ABRESCH |
NPI Number: | 1114298130 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PA21227 |
Business Practice Address: | 881 Alma Real Dr Suite 103 Pacific Palisades, CA - 902723731 |
Business Phone Number: | 3104594333 |
Business Fax Number: | 3102301953 |
Mailing Address: | 881 Alma Real Dr Ste 103, PACIFIC PALISADES |
State: | CA |
Postal Code: | 902723740 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/23/2012 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA21227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |