NPI 1003034018

Lystra B Wilson-Celestine, MD

Practitioner Obstetrics & Gynecology Physician Grass Valley, CA

Practice location

Address: 280 Sierra College Dr STE 115, Grass Valley, CA 95945
Phone: (530) 477-3119
Fax: (530) 274-2077
Mailing address: 3400 Data Dr Attn: Credentialing/Payer Enrollment, Rancho Cordova, CA 95670-7956

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence MD00048034 (WA)

Other Obstetrics & Gynecology providers in California →

Registry record

NPI: 1003034018
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2007
Record last updated: 29 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.