Lisa Marie Fayard, MD - Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Lisa Marie Fayard, MD is a Student In An Organized Health Care Education/training Program physician based in Loma Linda, California. Lisa Marie Fayard is licensed to practice in * (Not Available) (license number ) and her current practice location is 11234 Anderson St, Loma Linda, California. She can be reached at her office (for appointments etc.) via phone at (909) 558-9532.

NPI number for Lisa Marie Fayard is 1124581491 and her current mailing address is 11234 Anderson St, Loma Linda, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124581491.

Contact Information

Lisa Marie Fayard, MD
11234 Anderson St,
Loma Linda, CA 92354-2804
(909) 558-9532
Not Available



Physician's Profile

Full NameLisa Marie Fayard
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location11234 Anderson St, Loma Linda, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124581491
  • Provider Enumeration Date: 04/12/2019
  • Last Update Date: 08/03/2023

Medical Identifiers

Medical identifiers for Lisa Marie Fayard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124581491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry A176532 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Marie Fayard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Marie Fayard, MD
11234 Anderson St,
Loma Linda, CA 92354-2804

Ph: (909) 783-4145
Lisa Marie Fayard, MD
11234 Anderson St,
Loma Linda, CA 92354-2804

Ph: (909) 558-9532

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