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LISA LAC
NPI 1912686791
Physician Assistant in Pomona, CA

Active since July 18, 2023
1880 N ORANGE GROVE AVE, POMONA, CA 91767(909) 623-2100 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Lac NPPES

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

LISA LAC (NPI 1912686791) is an individual physician assistant in Pomona, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1912686791
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA LAC
Location Address1880 N ORANGE GROVE AVEPomona, CA 91767-3006
Mailing Address1880 N Orange Grove AvePomona, CA 91767-3006 · (909) 623-2100
Phone(909) 623-2100
Sole ProprietorNo
Enumeration DateJuly 18, 2023
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1912686791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1880 N ORANGE GROVE AVE, Pomona, CA 91767
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Other Providers at the Same Location NPPES 20

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

PATRICK ALONZO
Nurse Practitioner
1880 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 623-2100
RITA PATRICK M.D.
Hospitalist
1880 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 630-7158
MS. SUMI T FELIX MD
Family Medicine
1880 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 620-7200
SUZETTE BARSOUM NP
Nurse Practitioner
1880 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 620-7200
MS. CHARLENE ABBY CHUA
Nurse Practitioner (Family)
1880 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 623-2100
DR. TOBIN J PANICKER M.D.
Hospitalist
1880 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 630-7158
CHAPARRAL MEDICAL GROUP, INC.
Internal Medicine
1880 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 620-7200
PARMIDA BEHMARDI PA
Physician Assistant
1880 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 620-7200

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 Lac's NPI number?

The NPI number for Lisa Lac is 1912686791. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Lisa Lac located?

Lisa Lac practices at 1880 N Orange Grove Ave, Pomona, CA 91767. The listed phone number is (909) 623-2100.

What is Lisa Lac's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lisa Lac was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.