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NPI Code Detail

MEDICARE: ANA LAKSHIN

MEDICARE: ANA LAKSHIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
21744R1102XResearch Study Specialist
3373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1639762834
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA LAKSHIN
Provider Business Mailing Address
First Line : 3633 E BROADWAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-6035
Country : US
Telephone Number : 562-285-1330
Fax Number :
Provider Business Practice Location Address
First Line : 3633 E BROADWAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-6035
Country : US
Telephone Number : 562-285-1330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2021
Last Update Date : 06/09/2025

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Directions to “ ANA LAKSHIN ” Practice Location

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