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Individual

LISA KRITIKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
675 NELSON RISING LN STE 190, SAN FRANCISCO, CA 94143-0003
(510) 292-5535
Mailing address
539 BLAIR AVE, PIEDMONT, CA 94611-3734
(510) 292-5535

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95171868
CA
363L00000X
Nurse Practitioner
Primary
95015347
CA

Other

Enumeration date
11/25/2020
Last updated
11/25/2020
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