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NPI Code Detail

MEDICARE: MS. NICOLE DENISE LACOMBE L.V.N.

MEDICARE: MS. NICOLE DENISE LACOMBE L.V.N.
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
1164X00000XLicensed Vocational NurseVN246671CA
2163W00000XRegistered Nurse95242994CA

General Provider Information

NPI Number : 1730493164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE DENISE LACOMBE L.V.N.
Provider Business Mailing Address
First Line : 8330 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-1615
Country : US
Telephone Number : 818-222-1400
Fax Number :
Provider Business Practice Location Address
First Line : 8330 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-1615
Country : US
Telephone Number : 818-222-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2010
Last Update Date : 07/29/2025

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