Healthcare Provider Details

I. General information

NPI: 1942113386
Provider Name (Legal Business Name): VERONICA GUADALUPE AMAYA-LOZANO LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERONICA GUADALUPE AMAYA LPN

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4305 E TRENT AVE
SPOKANE WA
99212-1315
US

IV. Provider business mailing address

4305 E TRENT AVE
SPOKANE WA
99212-1315
US

V. Phone/Fax

Practice location:
  • Phone: 562-607-7370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLP61435847
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: