Provider Demographics
NPI:1427850627
Name:JAGER, LISA C
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:C
Last Name:JAGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 SAN PABLO AVE UNIT 106
Mailing Address - Street 2:
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-2490
Mailing Address - Country:US
Mailing Address - Phone:510-458-3121
Mailing Address - Fax:
Practice Address - Street 1:811 SAN PABLO AVE UNIT 106
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2490
Practice Address - Country:US
Practice Address - Phone:510-458-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula