Individual
LAILANNIE LIM VITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9449 IMPERIAL HWY, ROOM 329, DOWNEY, CA 90242-2814
(562) 290-7219
Mailing address
9449 IMPERIAL HWY, ROOM 329, DOWNEY, CA 90242-2814
(562) 290-7219
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95004620
CA
363LG0600X
Gerontology Nurse Practitioner
95004620
CA
Other
Enumeration date
08/28/2016
Last updated
03/03/2017
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