# LIZELLEN LA FOLLETTE MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912276007
- **Authorized official:** KATHERINE CHILTON (OFFICE MANAGER)
- **Authorized official phone:** (415) 461-1949

## Contact information

- **Practice address:** 599 SIR FRANCIS DRAKE BLVD, SUITE 301, GREENBRAE, CA 94904-1712
- **Practice address phone:** (415) 461-1949
- **Practice address fax:** (415) 461-1949
- **Mailing address:** 599 SIR FRANCIS DRAKE BLVD, SUITE 301, GREENBRAE, CA 94904-1712
- **Mailing address phone:** (415) 461-1949
- **Mailing address fax:** (415) 461-1949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2011
- **Last updated:** 12/20/2011