LISE ANNE PETERSON (NPI# 1487803110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487803110 |
| Entity Type | Individual |
| Full Name | LISE ANNE PETERSON |
| Practice Address |
45111 N. Fern Ave. Lancaster CA 93534 |
| Mailing Address |
42343 47th St West Quartz Hill CA 93536 |
| Practice Telephone | 6619491206 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073644969 | Lise Mary Peterson | Specialist | 17401 135th Ave Ne, Suite 4, Woodinville, WA 98072-6825 | 2007-03-09 |
| Street Address |
45111 N. FERN AVE. |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548425291 | Jessica Marisol Moran | Rehabilitation Practitioner | 45111 N. Fern Ave., Lancaster, CA 93534 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442672 | Mayra Castillo | Rehabilitation Practitioner | 921 W Avenue J Ste J, Lancaster, CA 93534-3443 | 2018-09-25 |
| 1518476928 | Rennie Roshell Euwing | Rehabilitation Practitioner | 45043 Sierra Hwy # A, Lancaster, CA 93534-2519 | 2017-09-28 |
| 1194033209 | Rovinson Rapisora De Guzman | Rehabilitation Practitioner | 43721 Maplewood St, Lancaster, CA 93535-6130 | 2010-09-23 |
| 1114241445 | Alyna Chanel Gutierrez | Rehabilitation Practitioner | 504 W.jackman St, Lancaster, CA 93534 | 2010-03-15 |
| 1033346515 | Sonia Carrillo | Rehabilitation Practitioner | 45111 N. Fern Ave, Lancaster, CA 93534 | 2009-06-11 |
| 1164657334 | Alma Lee Payne | Rehabilitation Practitioner | 44300 Lowtree Ave Ste 106, Lancaster, CA 93534-4171 | 2009-05-18 |
| 1568601730 | Manuel Perez | Rehabilitation Practitioner | 506 West Jackman, Lancaster, CA 93534 | 2009-02-12 |
| 1548425291 | Jessica Marisol Moran | Rehabilitation Practitioner | 45111 N. Fern Ave., Lancaster, CA 93534 | 2008-07-22 |
| 1972767424 | Francisco Villeda | Rehabilitation Practitioner | 45550 Pickford Ave, Lancaster, CA 93534-1379 | 2008-07-14 |
| 1639364425 | Llanet Liliana Acosta | Rehabilitation Practitioner | 43423 Division St., Lancaster, CA 93535-4089 | 2007-09-13 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.