Dr. Lisa Michelle Bean, M.D.
Obstetrics & Gynecology, Gynecologic Oncology in Calexico, CA. Individual provider (NPI-1).
NPI number1760782817
StatusActive
Last updated in NPPESJul 23, 2020
Details
- NPI
- 1760782817
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Michelle Bean
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2010
- Certification date
- Jul 23, 2020
- Last updated
- Jul 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | A125372 | CA | Yes |
| 207V00000X | Obstetrics & Gynecology | ME108952 | FL | |
| 207V00000X | Obstetrics & Gynecology | TRN14227 | FL |
Practice location
223 W Cole BlvdCalexico, CA 92231-9722
Phone 760-357-2020 · Fax 760-357-1056
Mailing address
5654 Leesway BlvdPensacola, FL 32504-7726
Phone 540-325-2458 · Fax 850-416-2467
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