| Lisa Faye Fronek, DO | |
|
859 E Foothill Blvd Ste B, Upland, CA 91786-4085 | |
| (909) 981-8929 | |
| (909) 946-9740 |
| Full Name | Lisa Faye Fronek |
|---|---|
| Gender | Female |
| Speciality | Dermatology - Mohs-micrographic Surgery |
| Location | 859 E Foothill Blvd Ste B, Upland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760970891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 20A19476 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 20A19476 (California) | Primary |
| Entity Name | Scripps Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
| Entity Name | Forefront Dermatology - Pacific, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356535009 PECOS PAC ID: 8325946015 Enrollment ID: O20031219000212 |
| Entity Name | Skinphysicians & Surgeons Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356411524 PECOS PAC ID: 3971401126 Enrollment ID: O20031223000872 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Faye Fronek, DO 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Lisa Faye Fronek, DO 859 E Foothill Blvd Ste B, Upland, CA 91786-4085 Ph: (909) 981-8929 |
Andrea Paola Passalacqua, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 886 W Foothill Blvd Ste G, Upland, CA 91786 Phone: 909-949-6500 Fax: 909-946-1133 | |
Tan Khac Nguyen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1310 San Bernardino Rd, Suite 207, Upland, CA 91786 Phone: 909-946-8600 Fax: 909-946-8604 | |
Dr. Sandra Lee Rebish, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 859 E Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-981-8929 Fax: 909-946-9740 | |
Dr. Ronald Demetri Liskanich, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 954 W Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-949-7500 Fax: 909-946-1133 | |
Dr. Arthur Stanley Zimmermann, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 930 E Foothill Blvd, Suite 1, Upland, CA 91786 Phone: 909-946-7271 Fax: 909-949-0831 | |
Jeffrey Craig Rebish, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 859 E Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-981-8929 Fax: 909-946-9740 | |
Dr. Gloria Jane Stevens, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 954 W Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-949-7500 Fax: 909-946-1133 |