Provider Demographics
NPI:1316528714
Name:CAFFERY, LISA ANN MARIE (BA, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANN MARIE
Last Name:CAFFERY
Suffix:
Gender:F
Credentials:BA, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7353 ELMHURST PL
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-2822
Mailing Address - Country:US
Mailing Address - Phone:805-455-9137
Mailing Address - Fax:
Practice Address - Street 1:3970 LA COLINA RD STE 2
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-4502
Practice Address - Country:US
Practice Address - Phone:805-455-9137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA700253163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn