Lisa Robyn O'connor
Sports Medicine Doctor
1235 Pear Ave # 101
Mountain View
, California 94043-1444
Lisa Robyn O'connor
Sports Medicine Doctor
1235 Pear Ave # 101
Mountain View
, California 94043-1444
(650) 965-8545
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Lisa Robyn O'connor
- Po Box 8125
- Fountain Valley, CA
- Zip : 92728-8125
- Fax : (650) 965-8545
- Phone : (650) 965-8434
Second Address
- Lisa Robyn O'connor
- 1235 Pear Ave # 101
- Mountain View, CA
- Zip : 94043-1444
- Fax : (650) 965-8545
- Phone : (650) 965-8434
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Is Lisa Robyn O'connor a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | PT33223 | CA |
National Provider Identifier
| NPI | 1245367358 |
|---|---|
| Provider Name | Lisa Robyn O'connor |
| First Address | Fountain Valley, CA 92728-8125 |
| Second Address | Mountain View, CA 94043-1444 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 14/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PT33223 | STATE LICENSE (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.