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LISA MARIE HANSON
NPI 1013676048
Nurse Practitioner - Family in Fontana, CA

Active since December 17, 2021
16465 SIERRA LAKES PKWY STE 275, FONTANA, CA 92336(909) 823-8000 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2022, Dec 17, 2021 (2 updates tracked since 2021).

About Lisa Marie Hanson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MARIE HANSON (NPI 1013676048) is an individual family provider in Fontana, California, licensed in California (95019039) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1013676048
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MARIE HANSON
Location Address16465 SIERRA LAKES PKWY STE 275Fontana, CA 92336-1263
Mailing Address16465 Sierra Lakes Pkwy Ste 275Fontana, CA 92336-1263 · (909) 985-0883
Phone(909) 823-8000
Sole ProprietorNo
Enumeration DateDecember 17, 2021
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1013676048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95019039
16465 SIERRA LAKES PKWY STE 275, Fontana, CA 92336
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS EMILY DAVI HUN PAC
Physician Assistant (Medical)
16465 SIERRA LAKES PKWY STE 275
FONTANA, CA 92336
San Bernardino County (909) 823-8000
CHELSEA MARIE KIGERL
Physician Assistant
16465 SIERRA LAKES PKWY STE 275
FONTANA, CA 92336
San Bernardino County (909) 823-8000
DR. UWA COMFORT KALU AZUBUIKE
Nurse Practitioner (Family)
16465 SIERRA LAKES PKWY STE 275
FONTANA, CA 92336
San Bernardino County (909) 702-4057
LIZLYN ROSE LAO LUCRIDA NP
Pediatrics
16465 SIERRA LAKES PKWY STE 275
FONTANA, CA 92336
San Bernardino County (909) 823-8000
DIANA YU D.O.
Pediatrics
16465 SIERRA LAKES PKWY STE 275
FONTANA, CA 92336
San Bernardino County (909) 823-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Hanson's NPI number?

The NPI number for Lisa Hanson is 1013676048. It was assigned to this individual provider in the NPPES registry on December 17, 2021.

Where is Lisa Hanson located?

Lisa Hanson practices at 16465 Sierra Lakes Pkwy Ste 275, Fontana, CA 92336. The listed phone number is (909) 823-8000.

What is Lisa Hanson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Hanson was last updated on August 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.