Provider Demographics
NPI:1922375856
Name:OXENHAM, LISA MARIE SANCHEZ (LM, CPM)
Entity Type:Individual
Prefix:MRS
First Name:LISA MARIE
Middle Name:SANCHEZ
Last Name:OXENHAM
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 EAST KATELLA AVENUE
Mailing Address - Street 2:4130
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-6672
Mailing Address - Country:US
Mailing Address - Phone:951-323-7193
Mailing Address - Fax:877-202-2361
Practice Address - Street 1:1801 EAST KATELLA AVENUE
Practice Address - Street 2:4130
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-6672
Practice Address - Country:US
Practice Address - Phone:951-323-7193
Practice Address - Fax:877-202-2361
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA316176B00000X
CALM316176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife