Individual
LORETTA ANCELLOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
487 S MAIN ST, SUITE 122, LAKEPORT, CA 95453-5315
(707) 263-4360
(707) 463-4036
Mailing address
260 HOSPITAL DR, SUITE 207, UKIAH, CA 95482-4533
(707) 463-8000
(707) 462-1111
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
15237
CA
Other
Enumeration date
01/19/2008
Last updated
11/16/2011
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