LISA LESTISHOCK PNP NPI 1447385166

NPI Information

NPI: 1447385166
Provider Name: LISA LESTISHOCK, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
725 WELCH RD
PALO ALTO, CA
ZIP 94304
Phone: (650) 498-7103
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Lisa Lestishock, PNP is a pediatrics nurse practitioner in Palo Alto, CA. Lisa Lestishock, PNP NPI is 1447385166. 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:

725 WELCH RD
PALO ALTO, CA
ZIP 94304-601
Phone: (650) 498-7103

The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/31/2012.

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	363LP0200X	Nurse Practitioner	Pediatrics	NP11029	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ22099Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	RN474034	MEDICAID	CALIFORNIA

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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