Individual
LISA LEANN LARRANAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 B ST STE A, LIVINGSTON, CA 95334-9593
(209) 799-8727
Mailing address
600 B ST STE A, LIVINGSTON, CA 95334-9593
(209) 799-8727
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
813512
CA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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