Individual
MS. LANNY NIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4834
(909) 881-4315
(909) 881-4474
Mailing address
PO BOX 8188, REDLANDS, CA 92375-1388
(909) 790-5071
(909) 790-5774
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A43466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A434660
—
CA
Enumeration date
09/28/2006
Last updated
07/08/2007
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