Provider Demographics
NPI:1871956540
Name:PARISSI, LISA ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANNE
Last Name:PARISSI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-31
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC34179111N00000X
FLCH11786111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor