Provider Demographics
NPI:1841354990
Name:SOLINAS, LISA (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:SOLINAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:800 S VICTORIA AVE # L4640
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93009-0003
Mailing Address - Country:US
Mailing Address - Phone:805-524-2000
Mailing Address - Fax:805-524-9601
Practice Address - Street 1:828 W VENTURA ST STE 100
Practice Address - Street 2:
Practice Address - City:FILLMORE
Practice Address - State:CA
Practice Address - Zip Code:93015-1877
Practice Address - Country:US
Practice Address - Phone:805-524-2000
Practice Address - Fax:805-524-9601
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2021-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG46924207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA50543Medicare UPIN