SearchCalifornia207VM0101X

Lisa Dixon

NPI 1225600497 · on the registry since 2021 · sole proprietor

Practice

Address
648 Ocean Park Blvd Apt A
Santa Monica, CA 90405
Phone
(310) 428-7049

Registry record

Primary taxonomy
207VM0101X
207VM0101X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-15

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