Lise Phan, MD

NEUROLOGY

1200 B Gale Wilson Blvd

Fairfield, CA 945333552

(707) 429-3600

**NPI:** 1487031100

**Med School:** PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE

**Experience:** 10 years

**Telehealth:** Yes

**Medicare Assignment:** Yes

Practice Locations (4)

NORTHBAY HEALTHCARE GROUP

1200 B Gale Wilson Blvd
Fairfield, CA 945333552

Phone: (707) 429-3600

**Group ID:** 0042122244 | **Group Size:** 293 members

WEST COAST NEUROLOGY, INC

630 S Raymond Ave, Unit 310
Pasadena, CA 911053206

Phone: (626) 598-3770

**Group ID:** 6204067010 | **Group Size:** 12 members

DENVER HEALTH AND HOSPITAL AUTHORITY

777 Bannock St
Denver, CO 802044507

Phone: (303) 436-6000

**Group ID:** 4688583578 | **Group Size:** 718 members

WAKEMED

3000 New Bern Ave
Raleigh, NC 276101231

Phone: (919) 350-8000

**Group ID:** 7315937612 | **Group Size:** 52 members

NORTHBAY MEDICAL CENTER Type: Hospital
1200 B GALE WILSON BLVD
Phone: (707) 646-5000
Medicare CCN: 050367 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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