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Individual
ELEANOR LACSA SAN PEDRO
Active
Individual
ELEANOR LACSA SAN PEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000294113
TN
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0000294113
TN
163WC0200X
Critical Care Medicine Registered Nurse
894837
MS
163WG0000X
General Practice Registered Nurse
0000294113
TN
163WM0705X
Medical-Surgical Registered Nurse
0000294113
TN
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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