Provider Demographics
NPI:1275779811
Name:TURNER, LISA CATHERINE (LAC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:CATHERINE
Last Name:TURNER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:C
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:PO BOX 5782
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93005-0782
Mailing Address - Country:US
Mailing Address - Phone:805-844-1181
Mailing Address - Fax:805-830-1659
Practice Address - Street 1:4601 TELEPHONE RD STE 107
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5671
Practice Address - Country:US
Practice Address - Phone:805-844-1181
Practice Address - Fax:805-830-1659
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-04
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12351171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA48338OtherAMERICAN SPECIALTY HEALTH ID