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Individual

LISA V. ELVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2 BON AIR RD, SUITE 120, LARKSPUR, CA 94939-1141
(415) 927-5300
(415) 927-5242
Mailing address
2 BON AIR RD, SUITE 120, LARKSPUR, CA 94939-1141
(415) 927-5300
(415) 927-5242

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8864
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
382183
RN
CA
01
8864
NP
CA
Enumeration date
03/09/2007
Last updated
07/08/2007
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