Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC 20411 | CA |
NPI | 1013027911 |
---|---|
Provider Name | Lisa M Stein |
First Address | Cupertino, CA 95014-1171 |
Second Address | Cupertino, CA 95014-1171 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |