Individual
HALEIGH ELIZABETH LUNASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2425 STOCKTON BLVD, SACRAMENTO, CA 95817-2215
(509) 720-3402
Mailing address
6231 BRIDGEPORT DR, SHINGLE SPRINGS, CA 95682-7668
(509) 720-3402
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95001816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95001816
STATE MEDICAL LICENSE
CA
Enumeration date
01/06/2015
Last updated
11/13/2024
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