Search › California › 363LF0000X
Lisa Fredrickson, FNP
NPI 1932533924 · on the registry since 2013
Practice
- Address
- 205 South St
Fort Bragg, CA 95437 - Phone
- (707) 961-1251
- Organisation at this address
- Mendocino Coast Clinics Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 51
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-18
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