Lisa Niesen

NPI 1831376599 · on the registry since 2008 · sole proprietor

Practice

Address: 2180 Johnson Ave
San Luis Obispo, CA 93401
Phone: (805) 781-5593
Fax: (805) 781-5566
Organisation at this address: Good Samaritan Shelter
County Of San Luis Obispo
County Of San Luis Obispo
San Luis Obispo Campus Health
Crestwood Behavioral Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 182

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-01-24

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