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Lisa Jordan
NPI 1265909055 · on the registry since 2018
Practice
- Address
- 430 N Pilgrim St
Stockton, CA 95205 - Phone
- (209) 466-0853
- Organisation at this address
- Children'S Home Of Stockton
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 52
Registry record
- Primary taxonomy
- 405300000X
405300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-30
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