SearchCalifornia363LA2200X

Lisa Kennelly, NP

NPI 1508352972 · on the registry since 2018

Practice

Address
16931 Bayou Ln
Fontana, CA 92336
Phone
(909) 921-3072

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-09

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