Individual
MRS. LAUREN E DIMAANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 304-3117
(602) 304-3132
Mailing address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 304-3117
(602) 304-3132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN179796
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN179796
STATE NURSING LICENSE
AZ
Enumeration date
07/31/2013
Last updated
07/31/2013
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