Gonzales, Lisa Elizabeth

Gonzales, Lisa Elizabeth is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Gonzales, Lisa Elizabeth can be contacted via phone (707) 423-5311.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024169804 Virginia
Other Service Providers / Midwife 176B00000X 0024169804 Virginia

Profile Details

NPI number 1275801425
LBN Legal business name Gonzales, Lisa Elizabeth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2011
Last updated Jan 25th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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