Individual
LANY SIVONGSAY AVAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6121 N THESTA ST, #204, FRESNO, CA 93710-8603
(559) 438-7390
(559) 438-7166
Mailing address
6121 N THESTA ST, #204, FRESNO, CA 93710-8603
(559) 438-7390
(559) 438-7166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP17618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689849879
—
CA
Enumeration date
04/28/2008
Last updated
10/16/2013
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