Lisa Laverne Bradley in Long Beach - Medical

Lisa Laverne Bradley - NPI 1427106764

Lisa Laverne Bradley is a Medical in Long Beach, California. Lisa Laverne Bradley practices all healthcare services and medical treatments related to Medical. The NPI Number for Lisa Laverne Bradley is 1427106764. The last update date is 2007-07-08.

Lisa Laverne Bradley's current location address is 2823 E 7th St, Long Beach, California. You can contact this provider via phone number 5622250450 and fax number 3232917953. The mailing address for Lisa Laverne Bradley is 2823 E 7th St, Long Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Laverne Bradley
Address 2823 E 7th St, Long Beach, California
Phone Number 5622250450
Fax Number 3232917953
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1427106764
Provider Enumeration Date 2007-01-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2823 E 7th St
City Long Beach
State California (CA)
Post Code 908044803
Phone Number 5622250450
Fax Number 3232917953

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No CA13997
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Lisa Laverne Bradley

What is the unique 10-digit identifier code issued to Lisa Laverne Bradley by the Centers for Medicare & Medicaid Services?

The Lisa Laverne Bradley has been assigned the NPI (National Provider Identifier) 1427106764 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Lisa Laverne Bradley's facilities are situated?

The facilities of Lisa Laverne Bradley are physically located at the following address: 2823 E 7Th St, Long Beach, CA, 908044803.

What is the Lisa Laverne Bradley's specialty and taxonomy code?

The Lisa Laverne Bradley's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date was the 1427106764 assigned to Lisa Laverne Bradley?

The Lisa Laverne Bradley was issued its 1427106764 on 2007-01-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Lisa Laverne Bradley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lisa Laverne Bradley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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