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Lisa Tan

NPI 1851104426 · on the registry since 2025

Practice

Address
Po Box 31023
Los Angeles, CA 90031
Phone
(213) 215-9504

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-28

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