Provider Demographics
NPI:1952708075
Name:STRAHM, LISA JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:JANE
Last Name:STRAHM
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 1:1855 1ST AVE STE 200B
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2685
Mailing Address - Country:US
Mailing Address - Phone:818-519-5901
Mailing Address - Fax:619-310-5426
Practice Address - Street 1:1855 1ST AVE
Practice Address - Street 2:STE 200B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-2685
Practice Address - Country:US
Practice Address - Phone:619-432-1033
Practice Address - Fax:619-310-5426
Is Sole Proprietor?:No
Enumeration Date:2014-12-04
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA148809207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism