| Lisa Jo Brown, FNP-C | |
|
440 N Mountain Ave Ste 103, Upland, CA 91786-5183 | |
| (888) 777-1945 | |
| (805) 413-9099 |
| Full Name | Lisa Jo Brown |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 440 N Mountain Ave Ste 103, 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 |
|---|---|---|---|
| 1770116808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 95013982 (California) | Primary |
| Entity Name | Infusion4health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508262213 PECOS PAC ID: 9032433206 Enrollment ID: O20150116000328 |
| Entity Name | Woo-ming Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205475738 PECOS PAC ID: 6103256110 Enrollment ID: O20200415000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Jo Brown, FNP-C 4115 South St, Lakewood, CA 90712-1043 Ph: (239) 595-7011 | Lisa Jo Brown, FNP-C 440 N Mountain Ave Ste 103, Upland, CA 91786-5183 Ph: (888) 777-1945 |
Wendy Karina Barreto Ii, General Practice Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-781-9042 | |
Douglas J Beseth, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-908-5086 |