Individual ProviderLisa CrawfordPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809(707) 423-7657(707) 423-7600PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Crawford does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1154741247Provider TypeIndividualFull NameCrawford, LisaTitleDr.CredentialPHARMD, BCACPGenderFemaleSole ProprietorYesEnumeration Date4/16/2014Last Updated4/9/2023Contact InformationPractice LocationPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7657FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense67470CaliforniaCode1835P2201XDescriptionPharmacistPharmacy Service ProvidersLicense6153660California