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Lisa Ellis

NPI 1194960864 · on the registry since 2008 · sole proprietor

Practice

Address
2245 Challenger Way
Santa Rosa, CA 95407
Phone
(707) 565-6338
Organisation at this address
County Of Sonoma
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
373H00000X
373H00000X
Also registered as
101YA0400X
172V00000X
Sex
Female
Record last updated
2025-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California