Individual
LILIT MARY CHAMICHYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1907 E WASHINGTON BLVD, LOS ANGELES, CA 90021-3206
(213) 747-7667
Mailing address
2413 N ORCHARD DR, BURBANK, CA 91504-2208
(818) 259-0206
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95018794
CA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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