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General NPI Number Information
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NPI Number | 1285262139
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Entity Type | Individual
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Provider Name | LARA NICOLE LINDSEY APRN
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Gender | Female
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 8641 WILSHIRE BLVD STE 100
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2919
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Country | US
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Telephone | 310-360-5917
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BETHANY DR
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-3086
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Country | US
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Telephone | 702-672-9922
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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 | 95016874
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License Number State | CA
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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 | 95016874
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License Number State | CA
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