Lisa Marie Hanson, - Nurse Practitioner in Fontana, CA

Lisa Marie Hanson, is a Nurse Practitioner - Family based in Fontana, California. Lisa Marie Hanson is licensed to practice in California (license number 95019039) and her current practice location is 16465 Sierra Lakes Pkwy Ste 275, Fontana, California. She can be reached at her office (for appointments etc.) via phone at (909) 823-8000.

NPI number for Lisa Marie Hanson is 1013676048 and her current mailing address is 16465 Sierra Lakes Pkwy Ste 275, Fontana, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013676048.

Contact Information

Lisa Marie Hanson,
16465 Sierra Lakes Pkwy Ste 275,
Fontana, CA 92336-1263
(909) 823-8000
Not Available

Map and Direction




Provider's Profile

Full NameLisa Marie Hanson
GenderFemale
SpecialityNurse Practitioner - Family
Location16465 Sierra Lakes Pkwy Ste 275, Fontana, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013676048
  • Provider Enumeration Date: 12/17/2021
  • Last Update Date: 08/19/2022

Medical Identifiers

Medical identifiers for Lisa Marie Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013676048NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95019039 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Marie Hanson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Marie Hanson,
16465 Sierra Lakes Pkwy Ste 275,
Fontana, CA 92336-1263

Ph: (909) 985-0883
Lisa Marie Hanson,
16465 Sierra Lakes Pkwy Ste 275,
Fontana, CA 92336-1263

Ph: (909) 823-8000

Reviews and Comments


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