Individual
LENA RENEE CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
PO BOX 20651, MESA, AZ 85277-0651
(480) 466-4644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP045632
AZ
Other
Enumeration date
12/26/2010
Last updated
12/26/2010
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