Search › California › 207R00000X
Lisa Brockman, DO
NPI 1063417798 · on the registry since 2005
Practice
- Address
- 3820 Martin Luther King Jr Blvd
Lynwood, CA 90262 - Phone
- (310) 632-0415
- Fax
- (310) 639-2734
- Organisation at this address
- Altamed Health Services Corp
Altamed Health Services Corp
Altamed Health Services Corp
Altamed Health Services Corp.
Altamed Health Services CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 67
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California