Provider Demographics
NPI:1760851000
Name:APPLETON, LISA
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:APPLETON
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 1:5251 BUCKS BAR RD
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-7869
Mailing Address - Country:US
Mailing Address - Phone:530-409-9789
Mailing Address - Fax:
Practice Address - Street 1:5251 BUCKS BAR RD
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-7869
Practice Address - Country:US
Practice Address - Phone:530-409-9789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist