Individual
AVA MARIE LAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12398 CUSTER ST, YUCAIPA, CA 92399-4452
(909) 797-4333
Mailing address
12398 CUSTER ST, YUCAIPA, CA 92399-4452
(909) 797-4333
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN164574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMCSUBQQ8
CMC ID
CA
01
—
EPS016730
MEDI-CAL PROVIDER NUMBER
CA
01
—
RVN004880
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
02/19/2008
Last updated
02/19/2008
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