Individual
ELVIA LIDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1 HOPE DR, TUSTIN, CA 92782-0221
(714) 247-0300
(714) 259-1598
Mailing address
14642 NEWPORT AVE STE 300, TUSTIN, CA 92780-6059
(714) 247-0300
(714) 259-1598
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
718980
CA
Other
Enumeration date
05/05/2011
Last updated
12/14/2023
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