Individual
LYDIA IWASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-7158
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-7158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95000573
CA
Other
Enumeration date
12/11/2014
Last updated
02/12/2015
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