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NPI Code Detail

MEDICARE: LYNETTE ESPINO ILANO

MEDICARE:   LYNETTE ESPINO ILANO
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
1207R00000XInternal Medicine PhysicianA157512CA

General Provider Information

NPI Number : 1477917524
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNETTE ESPINO ILANO
Provider Business Mailing Address
First Line : 26600 CACTUS AVE STE 300
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92555-3901
Country : US
Telephone Number : 951-988-9500
Fax Number : 951-571-8938
Provider Business Practice Location Address
First Line : 26600 CACTUS AVE STE 300
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92555-3901
Country : US
Telephone Number : 951-988-9500
Fax Number : 951-571-8938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2016
Last Update Date : 03/20/2025

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Directions to “ LYNETTE ESPINO ILANO ” Practice Location

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