MRS. ELIZABETH VIDELA LALANE


Address: 19353 Victory Blvd., Reseda, CA 91335
Phone: 8189964742

MRS. ELIZABETH VIDELA LALANE (NPI# 1154604494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154604494
Entity Type Individual
Full Name MRS. ELIZABETH VIDELA LALANE
Credential FNP
Practice Address 19353 Victory Blvd.
Reseda
CA 91335
Practice Telephone 8189964742
Mailing Telephone 8189964742
Enumeration Date 2011-09-22
Last Update Date 2014-06-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
21735 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
28196379A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19353 VICTORY BLVD.
City RESEDA
State CA
Zip Code 91335

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790248300 May Ogbozor Nurse Practitioner 18040 Sherman Way Ste 300, Reseda, CA 91335-4631 2019-04-10
1841424587 Bernardino Ramos Nurse Practitioner 18979 Gault St, Reseda, CA 91335-3909 2009-05-10
1881834919 Smitha Thomas Nurse Practitioner 19561 Gifford St, Reseda, CA 91335-8025 2009-03-02
1700440591 Dayleen Jae Gonzales Young Nurse Practitioner 18040 Sherman Way Ste 300, Reseda, CA 91335-4631 2019-04-26
1518310267 Amber Mcgrath Nurse Practitioner 19353 Victory Blvd, Reseda, CA 91335 2016-07-18
1639571482 Theresa Laguilles Nurse Practitioner 19353 Victory Blvd, Reseda, CA 91335 2014-09-24
1538449731 Betty Huynh Nurse Practitioner 18625 Sherman Way, Suite 104, Reseda, CA 91335 2011-08-19

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Competitor

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City RESEDA
Zip Code 91335

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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