Individual
DR. LISA R MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2030 SUTTER PL STE 2200, DAVIS, CA 95616
(530) 747-5010
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01062566A
IN
207N00000X
Dermatology Physician
Primary
C157591
CA
Other
Enumeration date
10/03/2006
Last updated
08/30/2019
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