| Doctor Name: | LISA M MAHONEY |
| NPI Number: | 1609803329 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01062028 |
| Business Practice Address: | 8599 Haven Ave. Suite 300 Rancho Cucamonga, CA - 917304849 |
| Business Phone Number: | 9096208180 |
| Business Fax Number: | 9099197288 |
| Mailing Address: | 8599 Haven Ave., Suite 300 RANCHO CUCAMONGA |
| State: | CA |
| Postal Code: | 917304849 |
| Phone Number: | 9096208180 |
| Fax Number: | 9099197288 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 03/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 01062028 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |