Individual
LISA HAUPTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
962 SEBASTOPOL RD, SANTA ROSA, CA 95407-6829
(707) 547-2222
(707) 547-2229
Mailing address
751 LOMBARDI CT, SANTA ROSA, CA 95407-6798
(707) 547-2222
(707) 547-2229
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7376
CA
Other
Enumeration date
03/03/2009
Last updated
10/14/2011
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