Lisa Raylene Fillis in Los Angeles - General Practice
Lisa Raylene Fillis - NPI 1346371721
Lisa Raylene Fillis is a General Practice in Los Angeles, California. Lisa Raylene Fillis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lisa Raylene Fillis is 1346371721. The last update date is 2007-07-08.
Lisa Raylene Fillis's current location address is 12114 Venice Blvd, Los Angeles, California. You can contact this provider via phone number 3104154742 and fax number 3233723836. The mailing address for Lisa Raylene Fillis is 12114 Venice Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Raylene Fillis |
|---|---|
| Address | 12114 Venice Blvd, Los Angeles, California |
| Phone Number | 3104154742 |
| Fax Number | 3233723836 |
| Sole Proprietor | Y |
| Credentials | ND |
NPI Number Detail
| NPI Number | 1346371721 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12114 Venice Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900663812 |
| Phone Number | 3104154742 |
| Fax Number | 3233723836 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | ND11 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lisa Raylene Fillis by the Centers for Medicare & Medicaid Services?
The Lisa Raylene Fillis has been issued the NPI (National Provider Identifier) 1346371721 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lisa Raylene Fillis is physically located?
The Lisa Raylene Fillis is situated at the following address: 12114 Venice Blvd, Los Angeles, CA 900663812.
What is Lisa Raylene Fillis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Raylene Fillis is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
When did the Lisa Raylene Fillis receive its 1346371721?
The Lisa Raylene Fillis was issued its 1346371721 on 2007-03-08, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Lisa Raylene Fillis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lisa Raylene Fillis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.