Provider Demographics
NPI:1679889380
Name:HAUN, LISA LEE (MSW)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:LEE
Last Name:HAUN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 BALDWIN STREET,
Mailing Address - Street 2:SUITE A
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3681
Mailing Address - Country:US
Mailing Address - Phone:831-443-6249
Mailing Address - Fax:831-444-9636
Practice Address - Street 1:1127 BALDWIN STREET,
Practice Address - Street 2:SUITE A
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3681
Practice Address - Country:US
Practice Address - Phone:831-443-6249
Practice Address - Fax:831-444-9636
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator