Search › California › 171M00000X
Lisa Mcmoran, ASW77052
NPI 1770034217 · on the registry since 2016
Practice
- Address
- 23115 Rider St Bldg A
Perris, CA 92570 - Phone
- (951) 686-8500
- Organisation at this address
- Olive Crest
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 710 Church St, Redlands, CA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-04
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