Healthcare Provider Details

I. General information

NPI: 1457723710
Provider Name (Legal Business Name): MS. LISABEL DOLNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2015
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 N. MCDOWELL BLVD.1A
PETALUMA CA
94954
US

IV. Provider business mailing address

1360 N. MCDOWELL BLVD.1A
PETALUMA CA
94954
US

V. Phone/Fax

Practice location:
  • Phone: 707-565-2331
  • Fax:
Mailing address:
  • Phone: 707-565-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: