Individual
LAZANYA LORENE RAGSTER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3415 MARTIN LUTHER KING BLVD, SACREMENTO, CA 95817
(916) 875-2932
Mailing address
6584 SUNNYFIELD WAY, SACRAMENTO, CA 95823
(916) 681-9432
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
593498
CA
163WP0200X
Pediatric Registered Nurse
593498
CA
Other
Enumeration date
04/25/2006
Last updated
09/11/2025
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