Provider Demographics
NPI:1588240303
Name:LISA M CONSIDINE DO INC
Entity Type:Organization
Organization Name:LISA M CONSIDINE DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSIDINE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:619-537-6910
Mailing Address - Street 1:230 PROSPECT PL STE 350
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-1995
Mailing Address - Country:US
Mailing Address - Phone:619-537-6910
Mailing Address - Fax:
Practice Address - Street 1:230 PROSPECT PL STE 350
Practice Address - Street 2:
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-1995
Practice Address - Country:US
Practice Address - Phone:619-537-6910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty