Individual
EXIA LOLLINNE SIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN509227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-1821
MEDICARE PART A
CA
05
—
FHC71087F
—
CA
01
—
HAP71087F
FPACT
CA
01
—
ZZZ72118Z
MEDICARE PART B
CA
Enumeration date
09/25/2006
Last updated
11/23/2007
Update your record
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