Provider Demographics
NPI:1811081706
Name:SHERWOOD, LISA B (CNM, WHCNP, RN)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:B
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:CNM, WHCNP, RN
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Mailing Address - Street 1:24411 HEALTH CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3633
Mailing Address - Country:US
Mailing Address - Phone:949-829-5533
Mailing Address - Fax:949-581-9158
Practice Address - Street 1:24411 HEALTH CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3633
Practice Address - Country:US
Practice Address - Phone:949-829-5533
Practice Address - Fax:949-581-9158
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1430367A00000X
AZNP3158367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife