Individual
LAUREN LALISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7211 VAN NUYS BLVD, VAN NUYS, CA 91405-2256
(818) 988-2722
Mailing address
7211 VAN NUYS BLVD, VAN NUYS, CA 91405-2256
(818) 988-2722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95018860
CA
Other
Enumeration date
10/19/2021
Last updated
11/16/2022
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