MEDICARE: ALIZAIN LALANI

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
1	163WC0200X	Critical Care Medicine Registered Nurse	95263861	CA
2	363L00000X	Nurse Practitioner	95031963	CA

General Provider Information

NPI Number	:	1215764857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIZAIN LALANI

Provider Business Mailing Address
First Line	:	2852 SAWTELLE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-3752
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2852 SAWTELLE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-3752
Country	:	US
Telephone Number	:	310-800-3241
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2024
Last Update Date	:	10/05/2024

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Directions to “ ALIZAIN LALANI ” Practice Location

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