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NPI Profile for LISA L STAFFORD in SANTA ROSA, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1144779497 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 09/28/2016 | |
| Last updated | 12/08/2022 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA L STAFFORD
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LISA L STAFFORD, NP