Provider Demographics
NPI:1922375856
Name:OXENHAM, LISA MARIE SANCHEZ (LM, CPM)
Entity type:Individual
Prefix:MRS
First Name:LISA MARIE
Middle Name:SANCHEZ
Last Name:OXENHAM
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 TWO TREES RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-3216
Mailing Address - Country:US
Mailing Address - Phone:949-590-0949
Mailing Address - Fax:877-202-2361
Practice Address - Street 1:451 TWO TREES RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-3216
Practice Address - Country:US
Practice Address - Phone:949-590-0949
Practice Address - Fax:877-202-2361
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM316176B00000X
CA316176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife