Provider Demographics
NPI:1659526424
Name:BICKFORD, LISA
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:BICKFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 MT. VERNON AVE.
Mailing Address - Street 2:KERN MEDICAL CENTER INPATIENT PHARMACY
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-4142
Mailing Address - Country:US
Mailing Address - Phone:661-326-5527
Mailing Address - Fax:661-326-2052
Practice Address - Street 1:1700 MT. VERNON AVE.
Practice Address - Street 2:KERN MEDICAL CENTER INPATIENT PHARMACY
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-4142
Practice Address - Country:US
Practice Address - Phone:661-326-5527
Practice Address - Fax:661-326-2052
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA521011835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist