Individual
DR. HEATHER MELISSA LANSILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
5707 CANOE DR, EASTVALE, CA 92880-7248
(626) 524-1563
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95011302
CA
Other
Enumeration date
08/20/2019
Last updated
03/08/2023
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