Individual
LISA MICHELLE CALTABIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
(509) 665-6065
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP60279987
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OP60279987
WA
208M00000X
Hospitalist Physician
OP60279987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0295835
L&I
WA
05
—
1982855656
—
WA
01
—
315912
L&I POST 7/21/13
WA
01
—
P01241808
RR MEDICARE
WA
Enumeration date
09/30/2008
Last updated
06/06/2022
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