Healthcare Provider Details

I. General information

NPI: 1215194246
Provider Name (Legal Business Name): LENA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45335 SIERRA HWY
LANCASTER CA
93534-1611
US

IV. Provider business mailing address

45335 SIERRA HWY
LANCASTER CA
93534-1611
US

V. Phone/Fax

Practice location:
  • Phone: 661-949-8599
  • Fax: 818-543-6767
Mailing address:
  • Phone: 661-949-8599
  • Fax: 818-543-6767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: