Provider Demographics
NPI:1053774505
Name:CAO, LISA ANN (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:CAO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1310 W STEWART DR STE 508
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3856
Mailing Address - Country:US
Mailing Address - Phone:714-633-2111
Mailing Address - Fax:844-387-7625
Practice Address - Street 1:1310 W STEWART DR STE 508
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3856
Practice Address - Country:US
Practice Address - Phone:714-633-2111
Practice Address - Fax:844-387-7625
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2023-04-18
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Provider Licenses
StateLicense IDTaxonomies
CAA154455207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery