Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 32611 | CA |
NPI | 1235573189 |
---|---|
Provider Name | Dr. Lisa Marie Viapiano |
First Address | Santa Monica, CA 90404-3584 |
Second Address | Santa Monica, CA 90404-3584 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2013 |
Last Update Date | 26/05/2015 |