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Organization

LIZELLEN LA FOLLETTE MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE CHILTON (OFFICE MANAGER)
(415) 461-1949
Entity
Organization

Contact information

Practice address
599 SIR FRANCIS DRAKE BLVD, SUITE 301, GREENBRAE, CA 94904-1712
(415) 461-1949
(415) 461-1949
Mailing address
599 SIR FRANCIS DRAKE BLVD, SUITE 301, GREENBRAE, CA 94904-1712
(415) 461-1949
(415) 461-1949

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
12/20/2011
Last updated
12/20/2011
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