Most Relevant Information
Provider Data
| NPI Number: | 1003239997 |
| Provider Name: | LISA CUNG NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95000299 |
Most Important Dates
| Enumeration Date: | 01/28/2014 |
| Last Updated: | 04/04/2016 |
Provider Practice Location
2410 MERCED ST
SAN LEANDRO
CA
945774211
Practice Location Phone/Fax
| Phone: | 5102782700 |
| Fax: | 5102782772 |
Provider Mailing Location
2410 MERCED ST
SAN LEANDRO
CA
945774211
Provider Mailing Phone/Fax
| Phone: | 5102782700 |
| Fax: | 5102782772 |