Lisa Fannin, MS,CCC-SLP is a
Speech-language Pathologist based in Ripon, California. Lisa Fannin is licensed to practice in California (license number SP 13292) and her current practice location is
728 Nancy Dr, Ripon, California. She can be reached at her office (for appointments etc.) via phone at
(209) 765-5057.
NPI number for Lisa Fannin is 1003112871 and her current mailing address is 728 Nancy Dr, Ripon, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003112871.
Healthcare Provider's Profile
Full Name | Lisa Fannin |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 728 Nancy Dr, Ripon, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003112871
- Provider Enumeration Date: 01/26/2011
- Last Update Date: 02/19/2016
Medical Identifiers
Medical identifiers for Lisa Fannin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003112871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SP 13292 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Fannin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Fannin, MS,CCC-SLP 728 Nancy Dr, Ripon, CA 95366-3310 Ph: (209) 765-5057 | Lisa Fannin, MS,CCC-SLP 728 Nancy Dr, Ripon, CA 95366-3310 Ph: (209) 765-5057 |
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