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LISA MORENO
NPI 1780864967
Nurse Practitioner - Family in Redlands, CA

Active since November 06, 2007
203 S SAN MATEO ST, REDLANDS, CA 92373(909) 855-1677 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Moreno NPPES

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

LISA MORENO (NPI 1780864967) is an individual family provider in Redlands, California, licensed in California (17772) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1780864967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MORENO
Location Address203 S SAN MATEO STRedlands, CA 92373-5030
Mailing Address203 S San Mateo StRedlands, CA 92373-5030 · (909) 855-1677
Phone(909) 855-1677
Sole ProprietorNo
Enumeration DateNovember 6, 2007
Last NPPES UpdateAugust 27, 2009
✔ NPI 1780864967 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 · 17772
203 S SAN MATEO ST, Redlands, CA 92373
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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 Moreno's NPI number?

The NPI number for Lisa Moreno is 1780864967. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Lisa Moreno located?

Lisa Moreno practices at 203 S San Mateo St, Redlands, CA 92373. The listed phone number is (909) 855-1677.

What is Lisa Moreno'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 Moreno was last updated on August 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.