Individual
LIAN CANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14108 MAGNOLIA BLVD, SHERMAN OAKS, CA 91423-1119
(818) 465-3060
Mailing address
13138 MAGNOLIA BLVD, SHERMAN OAKS, CA 91423-1529
(818) 689-3121
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95033105
CA
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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