LISA MARIE LAIDLAW FNP
NPI 1922513548
Nurse Practitioner - Family in Petaluma, CA

Active since December 05, 2017
104 LYNCH CREEK WAY STE 10, PETALUMA, CA 94954(707) 782-9123(707) 782-9622 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Marie Laidlaw Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MARIE LAIDLAW FNP (NPI 1922513548) is an individual family provider in Petaluma, California, licensed in California (95006925) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1922513548
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MARIE LAIDLAWCredential: FNP
Location Address104 LYNCH CREEK WAY STE 10Petaluma, CA 94954-2355
Mailing Address3536 Mendocino Ave Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918
Fax(707) 782-9622
Sole ProprietorNo
Enumeration DateDecember 5, 2017
NPI 1922513548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95006925
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95006925 (CA)
104 LYNCH CREEK WAY STE 10, Petaluma, CA 94954

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
104 LYNCH CREEK WAY STE 10
PETALUMA, CA 94954

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Laidlaw's NPI number?

The NPI number for Lisa Laidlaw is 1922513548. It was assigned to this individual provider in the NPPES registry on December 5, 2017.

Where is Lisa Laidlaw located?

Lisa Laidlaw practices at 104 Lynch Creek Way Ste 10, Petaluma, CA 94954. The listed phone number is (707) 782-9123.

What is Lisa Laidlaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Laidlaw was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.