MEDICARE: LISA ANN LERMA

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1831215029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ANN LERMA

Provider Business Mailing Address
First Line	:	3231 N LOOP 1604 W APT 3105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-4416
Country	:	US
Telephone Number	:	805-415-1536
Fax Number	:

Provider Business Practice Location Address
First Line	:	1722 S LEWIS RD
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-8520
Country	:	US
Telephone Number	:	805-445-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	04/07/2026

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Directions to “ LISA ANN LERMA ” Practice Location

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