Provider Demographics
NPI:1023724416
Name:BRITT, LISA RENEE (CNM)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:RENEE
Last Name:BRITT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14031 LEFFINGWELL RD APT 407
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-4212
Mailing Address - Country:US
Mailing Address - Phone:562-322-8222
Mailing Address - Fax:
Practice Address - Street 1:14031 LEFFINGWELL RD APT 407
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604-4212
Practice Address - Country:US
Practice Address - Phone:562-322-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA633871163W00000X
CA236337176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse