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General NPI Number Information
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NPI Number | 1144610395
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Entity Type | Individual
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Provider Name | KALENA LANUZA FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 445 S FIGUEROA ST FL 31
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City | LOS ANGELES
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State | CA
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Zip | 90071-1602
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 445 S FIGUEROA ST FL 31
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City | LOS ANGELES
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State | CA
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Zip | 90071-1602
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202112680NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202201165NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95001632
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License Number State | CA
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