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1104420827 NPI number — MS. LISA JORDAN FRENCH

NPI Number: 1104420827
Health Care Provider/Practitioner: MS. LISA JORDAN FRENCH

Information about “1104420827” NPI (MS. LISA JORDAN FRENCH) exists in 1104420827 in HTML format HTML  |  1104420827 in plain Text format TXT  |  1104420827 in PDF (Portable Document Format) PDF  |  1104420827 in an XML format XML  formats.

NPI Number : 1104420827 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104420827",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FRENCH",
    "FirstName": "LISA",
    "MiddleName": "JORDAN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JORDAN",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "THAYER",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "MA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1956 LOTMAN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA CRUZ",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95062-2022",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "831-419-1106",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1956 LOTMAN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA CRUZ",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95062-2022",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "831-419-1106",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/23/2020",
    "LastUpdateDate": "11/23/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TS0200X",
        "TaxonomyName": "School Psychologist",
        "LicenseNumber": "LEP3655",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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