Individual
LIZABETH GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
999 S FAIRMONT AVE STE 230, LODI, CA 95240-5142
(209) 334-4924
(209) 334-0127
Mailing address
PO BOX 1090, LODI, CA 95241-1090
(209) 334-1800
(209) 334-2416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8720
CA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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