Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC 15400 | CA |
NPI | 1447451497 |
---|---|
Provider Name | Dr. Lisa Sternlieb |
First Address | Oakland, CA 94610-4559 |
Second Address | Oakland, CA 94610-4559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/07/2007 |