Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | NP13809 | CA |
NPI | 1366584534 |
---|---|
Provider Name | Ms. Maria A Lascuna |
First Address | Reedley, CA 93654-2232 |
Second Address | Reedley, CA 93654-2232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 04/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13809 | NP (01) | CA |