Individual
LILLIAN JUNE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
1 GRAND AVE, CALIFORNIA POLYTECHNIC STATE UNIVERSITY HEALTH CENTER, SAN LUIS OBISPO, CA 93410-9001
(805) 756-1211
(805) 756-5298
Mailing address
1 GRAND AVE, CALIFORNIA POLYTECHNIC STATE UNIVERSITY HEALTH CENTER, SAN LUIS OBISPO, CA 93410-9001
(805) 756-1211
(805) 756-5298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP6713
CA
Other
Enumeration date
10/27/2006
Last updated
08/18/2008
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