Lisa Thomsen MD Inc a Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G63943 Issued in CA

Legal business name

LISA THOMSEN MD INC A PROFESSIONAL CORPORATION

Practice address

210 S Grand Ave Ste 302
Glendora, CA 91741-4281

Phone

(626) 963-4149

Fax

(626) 963-9023

NPI assigned

Jun 20, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa L Thomsen, MDNPI 1174586960

Title

President Ceo

Phone

(626) 963-4149

Specialties & licenses 1

Addresses

Other names 1

• Lisa L. Thomsen M.D. Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa L Thomsen, M.D.

  • Family Medicine Physician
  • Glendora, CA
  • NPI 1174586960
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508396730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 302",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414281",
            "telephone_number": "626-963-4149",
            "fax_number": "626-963-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 302",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414281",
            "telephone_number": "626-963-4149",
            "fax_number": "626-963-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA THOMSEN MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "626-963-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G63943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa L. Thomsen M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Valeda K Limlahapan, NP
• Chin Hua Lin, DPM
• Lawrence Eugene Lipkowski, DDS
• Lisa a. Wagner Chiropractic, Inc
• Shuyan Liu, NP
• Sierra Kanami Lo, OD
• Diana Cristina Londono, MD
• Longs Drug Stores California LLC (CVS Pharmacy #09851)
• Alex Lopez Jr.

• Primary Care Clinic/Center in Glendora, CA
• Providers in Glendora, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.