Individual provider · NPI-1

Lisa Renee Bretches, N.P.

Nurse Practitioner, Pediatrics · Mission Viejo, CA

NPI number1477890242
StatusActive
Last updated in NPPESJan 13, 2013

Details

NPI
1477890242
Entity type
Individual (NPI-1)
Name
Lisa Renee Bretches
Credential
N.P.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 13, 2013
Last updated
Jan 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics388136CAYes

Practice location

27800 Medical Center Rd
Suite 300
Mission Viejo, CA 92691-6410

Phone 949-364-2229

Mailing address

1064 Smoketree Dr
Corona, CA 92882-8783

Phone 951-733-9552

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