Provider Demographics
NPI:1750858379
Name:FRANCK, LISA ANN (CREDENTIALED NURSE)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:FRANCK
Suffix:
Gender:F
Credentials:CREDENTIALED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SAGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-6937
Mailing Address - Country:US
Mailing Address - Phone:760-691-0165
Mailing Address - Fax:
Practice Address - Street 1:850 SAGEWOOD DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-6937
Practice Address - Country:US
Practice Address - Phone:760-691-0165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA823318163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool