Doctor Name: | MRS. LISA KAY LAWITZKE-HUNDLEY |
NPI Number: | 1427224161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | IDC |
License Number: | |
Business Practice Address: | 35000 Guadalcanal Ave Bldg 596 San Diego, CA - 921405599 |
Business Phone Number: | 6195248311 |
Business Fax Number: | |
Mailing Address: | 4770 Pico St, SAN DIEGO |
State: | CA |
Postal Code: | 921093808 |
Phone Number: | 2246279113 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2008 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |