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LISA SULLIVAN
NPI 1144579418
Specialist in Mission Viejo, CA

Active since September 02, 2012
252 CALIFORNIA CT, MISSION VIEJO, CA 92692(949) 697-9228 Get Directions Write a Review

NPPES record last updated: September 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Sullivan NPPES

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

LISA SULLIVAN (NPI 1144579418) is an individual specialist in Mission Viejo, California, licensed in California (OTA2143) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1144579418
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLISA SULLIVAN
Location Address252 CALIFORNIA CTMission Viejo, CA 92692-4098
Mailing Address252 California CtMission Viejo, CA 92692-4098 · (949) 697-9228
Phone(949) 697-9228
Sole ProprietorYes
Enumeration DateSeptember 2, 2012
✔ NPI 1144579418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · OTA2143
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
252 CALIFORNIA CT, Mission Viejo, CA 92692
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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 Sullivan's NPI number?

The NPI number for Lisa Sullivan is 1144579418. It was assigned to this individual provider in the NPPES registry on September 2, 2012.

Where is Lisa Sullivan located?

Lisa Sullivan practices at 252 California Ct, Mission Viejo, CA 92692. The listed phone number is (949) 697-9228.

What is Lisa Sullivan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Sullivan was last updated on September 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.