Individual provider · Type 1 NPI

Lisa Marie Laidlaw, FNP

Family Nurse Practitioner · Petaluma, CA

NPI number 1922513548 Active

Practice location

104 Lynch Creek Way Ste 10
Petaluma, CA 94954-2355

Call (707) 782-9123 Map

Fax (707) 782-9622

Mailing address

3536 Mendocino Ave Ste 200
Santa Rosa, CA 95403-3634

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95006925 (CA)
Family Nurse Practitioner Primary 363LF0000X95006925 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1922513548

Lisa Marie Laidlaw, FNP's National Provider Identifier is 1922513548, issued on Dec 5, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Petaluma, CA. The record was last updated on Dec 5, 2017.