Dr. Lisa Renee Di Enno
M.D. | Pediatrics | Female
Dr. Lisa Renee Di Enno, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Lisa Renee Di Enno is also known as
Lisa Renee Rose.
Current practice location of Dr. Lisa Renee Di Enno is
3020 Childrens Way, San Diego, California - 92123-4223. She can be contacted on phone at
858-966-8800.
Dr. Lisa Renee Di Enno is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lisa Renee Di Enno is
1407050297 which was assigned by NPPES on 13 Jun, 2007 and it was last updated on 09 Dec, 2021.
Dr. Lisa Renee Di Enno license number is
C162286 for Pediatrics (208000000X) in California.
Dr. Lisa Renee Di Enno is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Lisa Renee Di Enno basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Lisa Renee Di Enno |
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| Other Name : | Lisa Renee Rose |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Lisa Renee Di Enno address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3020 Childrens Way
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-966-8800 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407050297 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Jun, 2007 |
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| Last Updated On : | 09 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa Renee Di Enno are as mentioned. Primary taxonomy code for Dr. Lisa Renee Di Enno, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | C162286 | CA |
| 208000000X | Pediatrics | No | 0101245344 | VA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3020 Childrens Way # Mc5003
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-309-6300 |
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Business Location:
Patients can refer following map for directions to
Dr. Lisa Renee Di Enno practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.