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Individual

LISA LYNNE STOLFUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6493
(559) 499-6501
Mailing address
4910 E CLINTON WAY, SUITE 101, FRESNO, CA 93727-1560
(559) 443-2682
(559) 443-2681

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN503923
CA
363L00000X
Nurse Practitioner
NP20120167
TX
363L00000X
Nurse Practitioner
Primary
NP23050
CA
363LA2100X
Acute Care Nurse Practitioner
NP20120167
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
NP23050
CA

Other

Enumeration date
02/20/2013
Last updated
11/14/2013
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