Dr. Lisha Mainz
Chiropractic Sports Physician
790 Laurel St Ste 15
San Carlos
, California 94070-3165
Dr. Lisha Mainz
Chiropractic Sports Physician
790 Laurel St Ste 15
San Carlos
, California 94070-3165
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Lisha Mainz
- 790 Laurel St Ste 15
- San Carlos, CA
- Zip : 94070-3165
- Phone :
Second Address
- Dr. Lisha Mainz
- 790 Laurel St Ste 15
- San Carlos, CA
- Zip : 94070-3165
- Phone : (650) 595-0203
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | DC24972 | CA |
National Provider Identifier
| NPI | 1023147436 |
|---|---|
| Provider Name | Dr. Lisha Mainz |
| First Address | San Carlos, CA 94070-3165 |
| Second Address | San Carlos, CA 94070-3165 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9432880077 | (02) | CA |
| DC24972 | LICENSE NUMBER (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.