Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | A104885 | CA |
NPI | 1295943132 |
---|---|
Provider Name | Lisa N Abaid |
First Address | Newport Beach, CA 92663-3509 |
Second Address | Newport Beach, CA 92663-3509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 31/03/2016 |