Mrs Lisa Elizabeth Gonzales, CNM is a
Midwife based in Travis Afb, California. Mrs Lisa Elizabeth Gonzales is licensed to practice in Virginia (license number 0024169804) and her current practice location is
101 Bodin Cir, Travis Afb, California. She can be reached at her office (for appointments etc.) via phone at
(707) 423-5311.
NPI number for Mrs Lisa Elizabeth Gonzales is 1275801425 and her current mailing address is 101 Bodin Cir, Travis Afb, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275801425.
Provider's Profile
Full Name | Mrs Lisa Elizabeth Gonzales |
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Gender | Female |
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Speciality | Midwife |
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Location | 101 Bodin Cir, Travis Afb, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275801425
- Provider Enumeration Date: 12/02/2011
- Last Update Date: 01/25/2024
Medical Identifiers
Medical identifiers for Mrs Lisa Elizabeth Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275801425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 0024169804 (Virginia) | Secondary |
176B00000X | Midwife | 0024169804 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Elizabeth Gonzales is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lisa Elizabeth Gonzales, CNM 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5311 | Mrs Lisa Elizabeth Gonzales, CNM 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5311 |
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