Individual
CHARISE LAVONE LAVARREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1111 N CHINA LAKE BLVD STE 190, RIDGECREST, CA 93555-3131
(760) 499-3855
(760) 499-3870
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 499-3899
(760) 446-2254
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015768
CA
363LF0000X
Family Nurse Practitioner
95037582
CA
Other
Enumeration date
08/25/2020
Last updated
03/10/2026
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