DR. LISA RAYLENE FILLIS ND NPI 1346371721

NPI Information

NPI: 1346371721
Provider Name: DR. LISA RAYLENE FILLIS, ND
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
12114 VENICE BLVD
LOS ANGELES, CA
ZIP 90066
Phone: (310) 415-4742
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DR. Lisa Raylene Fillis, ND is a general practice in Los Angeles, CA. DR. Lisa Raylene Fillis, ND NPI is 1346371721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12114 VENICE BLVD
LOS ANGELES, CA
ZIP 90066-812
Phone: (310) 415-4742
Fax: (323) 372-3836

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		ND11	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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