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NPI Code Detail

MEDICARE: LISA STRATFORD

MEDICARE: LISA STRATFORD
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
11041C0700XClinical Social WorkerLCSW66549CA

General Provider Information

NPI Number : 1487719886
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA STRATFORD
Provider Business Mailing Address
First Line : 5860 UPLANDER WAY
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6608
Country : US
Telephone Number : 424-298-2077
Fax Number :
Provider Business Practice Location Address
First Line : 5860 UPLANDER WAY
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6608
Country : US
Telephone Number : 424-298-2091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2006
Last Update Date : 12/30/2024

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Directions to “ LISA STRATFORD ” Practice Location

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