# LARA VALDEZ CAPANGPANGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962295659
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 041.420667 | IL | — |
| 363LP2300X | Primary Care Nurse Practitioner | 209.034383 | IL | — |
| 363LP2300X | Primary Care Nurse Practitioner | 95038142 | CA | Yes |

## Other

- **Enumeration date:** 05/26/2025
- **Last updated:** 07/08/2026