Individual
WASIN LUCKANAVANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 825-8000
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001717
CA
Other
Enumeration date
03/19/2022
Last updated
07/24/2024
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