Provider Demographics
NPI:1841249240
Name:CAPALDINI, LISA (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:CAPALDINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21663 BRIAN LN STE C
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-9065
Mailing Address - Country:US
Mailing Address - Phone:209-586-1400
Mailing Address - Fax:800-898-0558
Practice Address - Street 1:45 CASTRO ST
Practice Address - Street 2:STE 227
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1033
Practice Address - Country:US
Practice Address - Phone:415-861-3366
Practice Address - Fax:415-861-3189
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG54552207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine