| Lisa L. Thomsen M.d. | |
|
210 S Grand Ave Ste 302 Glendora CA 91741-4281 | |
| (626) 963-4149 | |
| (626) 963-9023 |
| Full Name | Lisa L. Thomsen M.d. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 210 S Grand Ave Ste 302, Glendora, California |
| Authorized Official Name and Position | Lisa L Thomsen (PRESIDENT CEO) |
| Authorized Official Contact | 6269634149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa L. Thomsen M.d. 210 S Grand Ave Ste 302 Glendora CA 91741-4281 Ph: (626) 963-4149 | Lisa L. Thomsen M.d. 210 S Grand Ave Ste 302 Glendora CA 91741-4281 Ph: (626) 963-4149 |
| NPI Number | 1508396730 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508396730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G63943 (California) | Primary |
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