Individual provider · Type 1 NPI

Lystra B. Wilson-Celestine, MD

Obstetrics & Gynecology Physician · Grass Valley, CA

NPI number 1003034018 Active

Practice location

280 Sierra College Dr Ste 115
Grass Valley, CA 95945

Call (530) 477-3119 Map

Fax (530) 274-2077

Mailing address

3400 Data Dr, Attn: Credentialing/payer Enrollment
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XMD00048034 (WA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1003034018

Lystra B. Wilson-Celestine, MD's National Provider Identifier is 1003034018, issued on Apr 23, 2007. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Grass Valley, CA. The record was last updated on May 29, 2018.