| Doctor Name: | DR. LISA KATHERINE RIVERA |
| NPI Number: | 1366427395 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 02002823A |
| Business Practice Address: | 162 W 1st St Naval Acute Care Center Port Hueneme Oxnard, CA - 930305645 |
| Business Phone Number: | 8059826320 |
| Business Fax Number: | 8059826319 |
| Mailing Address: | 1250 Jamaica Ln, OXNARD |
| State: | CA |
| Postal Code: | 930306775 |
| Phone Number: | 8054865200 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 02002823A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |