Individual
LANONA D REZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7166 COUNTY ROAD 154, SALIDA, CO 81201-9455
(719) 276-5488
Mailing address
PO BOX 840, SEMINOLE, TX 79360
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN.0104759-C-NP
CO
Other
Enumeration date
06/25/2018
Last updated
08/11/2025
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