LISA MORENO NPI 1780864967

NPI Information

  • NPI: 1780864967
  • Provider Name: LISA MORENO
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 203 S SAN MATEO ST
    REDLANDS, CA
    ZIP 92373
  • Phone: (909) 855-1677

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NPI Details

Lisa Moreno is a family nurse practitioner in Redlands, CA. Lisa Moreno NPI is 1780864967. 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:

203 S SAN MATEO ST
REDLANDS, CA
ZIP 92373-030
Phone: (909) 855-1677

The enumeration date for this NPI number is 11/6/2007 and was last updated on 8/27/2009.

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
1363LF0000XNurse PractitionerFamily17772CALIFORNIAYes

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: 11/21/2025

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