Provider Demographics
NPI:1780888610
Name:MARKMAN, LISA HANNAH (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:HANNAH
Last Name:MARKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10601 WALKER ST STE 250
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4733
Mailing Address - Country:US
Mailing Address - Phone:714-252-8311
Mailing Address - Fax:714-252-8339
Practice Address - Street 1:10601 WALKER ST STE 250
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4733
Practice Address - Country:US
Practice Address - Phone:714-252-8311
Practice Address - Fax:714-252-8339
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC164946207RE0101X
NY258086207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03962952Medicaid