Whalio Doctors

NPI 1154419117

Lisa Brazil, CFNP

Practitioner Family Medicine Physician San Luis Obispo, CA

Practice location

Address
35 Casa St STE 320, San Luis Obispo, CA 93405
Phone
(805) 250-4844
Fax
(057) 850-3568
Mailing address
35 Casa St STE 320, San Luis Obispo, CA 93405-1894

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence R34090 (NM)

Registry record

NPI
1154419117
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Oct 2006
Record last updated
29 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.