Dr. Lisa R Fortuna, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Riverside, CA. Individual provider (NPI-1).
NPI number1790733871
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1790733871
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa R Fortuna
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2006
- Certification date
- Jan 8, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 210650 | MA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 210650 | MA |
Practice location
3390 University Ave Ste 115Riverside, CA 92501-3315
Phone 844-827-8000
Mailing address
3390 University Ave Ste 115Riverside, CA 92501-3315
Phone 844-827-8000
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