Provider Demographics
NPI:1184941791
Name:CATALLI, LISA LOTTE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:LOTTE
Last Name:CATALLI
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
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Mailing Address - Street 1:350 PARNASSUS
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-353-2318
Mailing Address - Fax:415-353-2407
Practice Address - Street 1:350 PARNASSUS
Practice Address - Street 2:SUITE 410
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-353-2318
Practice Address - Fax:415-353-2407
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA492418363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health