Provider Demographics
NPI:1811662455
Name:LISA PARISSI CHIROPRACTIC CORP
Entity type:Organization
Organization Name:LISA PARISSI CHIROPRACTIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & LEAD CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PARISSI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-387-1333
Mailing Address - Street 1:1101 DOVE ST STE 270
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2819
Mailing Address - Country:US
Mailing Address - Phone:949-387-1333
Mailing Address - Fax:
Practice Address - Street 1:1101 DOVE ST STE 270
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2819
Practice Address - Country:US
Practice Address - Phone:949-387-1333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service