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NPI Code Detail

MEDICARE: LISA ELAINE BATCHELOR FNP, C, MSN

MEDICARE:   LISA ELAINE BATCHELOR  FNP, C, MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP 15046CA

General Provider Information

NPI Number : 1013072859
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ELAINE BATCHELOR FNP, C, MSN
Provider Business Mailing Address
First Line : 1438 W 122ND ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90047-5309
Country : US
Telephone Number : 323-418-0804
Fax Number :
Provider Business Practice Location Address
First Line : 23517 MAIN ST
Second Line : # 103
City : CARSON
State : CA
Zip : 90745-5251
Country : US
Telephone Number : 310-834-5388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/08/2007

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Directions to “ LISA ELAINE BATCHELOR FNP, C, MSN” Practice Location

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