Search › California › 101YA0400X
Lisa Durant, SUDRC 11432
NPI 1699342675 · on the registry since 2021
Practice
- Address
- 1917 Drescher St
San Diego, CA 92111 - Phone
- (619) 530-7528
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 175T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-29
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