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Individual

MRS. LISA ELIZABETH GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2020 SUTTER PL STE 203, DAVIS, CA 95616-6217
(530) 750-5880
(530) 750-5881
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
(916) 854-6769

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
0024169804
VA
367A00000X
Advanced Practice Midwife
0024169804
VA
367A00000X
Advanced Practice Midwife
Primary
NM236574
CA

Other

Enumeration date
12/02/2011
Last updated
01/12/2026
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