person
Lisa Laraine Stafford, NP
Family Nurse Practitioner in Santa Rosa, California
NPI 1144779497

Lisa Laraine Stafford is a Family Nurse Practitioner based in Los Altos, CA and is specialized in Family. Lisa Laraine Stafford practices in Santa Rosa, CA and has the professional credentials of NP. The NPI Number for Lisa Laraine Stafford is 1144779497 and holds a License No. 2016013940 (California).

The current practice location address for Lisa Laraine Stafford is 34 Mark West Springs Rd Fl 3, Santa Rosa, CA and can be reached out via phone at 707-573-5240 and via fax at 707-573-5416. You can also correspond with Lisa Laraine Stafford through the mailing address at 325 DISTEL CIR, LOS ALTOS, CA - 94022-1408 (mailing address contact number: 707-573-5240).

Location: 34 Mark West Springs Rd Fl 3, Santa Rosa, CA, 94022-1408
person
Provider Profile Details
NPI Number
1144779497
Provider Name
Lisa Laraine Stafford
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
34 Mark West Springs Rd Fl 3, Santa Rosa, CA, 94022-1408
Phone Number
707-573-5240
Fax Number
707-573-5416
Provider Enumeration Date
09/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP95004974 01 CA STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
34 Mark West Springs Rd Fl 3
City
State
Zip
95403
Phone Number
707-573-5240
Fax Number
707-573-5416
person
Provider Business Mailing Address Details
Address
34 Mark West Springs Rd Fl 3
City
State
Zip
95403
Phone Number
707-573-5240
Fax Number
707-573-5416
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2016013940 (California)
Definition
Definition to come...
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