Provider Demographics
NPI:1205914074
Name:HELFEND, LISA K (PHD, MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:K
Last Name:HELFEND
Suffix:
Gender:F
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 B GALE WILSON BLVD
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-3552
Mailing Address - Country:US
Mailing Address - Phone:866-863-1496
Mailing Address - Fax:877-405-9837
Practice Address - Street 1:1200 B GALE WILSON BLVD
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-3552
Practice Address - Country:US
Practice Address - Phone:866-863-1496
Practice Address - Fax:877-405-9837
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG68156207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G681560Medicaid
CA00G681560Medicaid
F43714Medicare UPIN