Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 21548 | CA |
NPI | 1194099432 |
---|---|
Provider Name | Mrs. Lauren Truffa |
First Address | Loma Linda, CA 92354-2804 |
Second Address | Loma Linda, CA 92354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2012 |
Last Update Date | 22/05/2019 |