Individual
LANA MADANAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
1330 W COVINA BLVD STE 106, SAN DIMAS, CA 91773-3200
(909) 599-6876
Mailing address
1330 W COVINA BLVD STE 106, SAN DIMAS, CA 91773-3200
(909) 599-6876
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20140827
CA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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