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NPI Code Detail

MEDICARE: MS. LAURIE ANN STOLLBERG LVN

MEDICARE:  MS. LAURIE ANN STOLLBERG  LVN
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 NurseVN154841CA

General Provider Information

NPI Number : 1790951861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURIE ANN STOLLBERG LVN
Provider Business Mailing Address
First Line : 15162 LITTLE RON RD
Second Line :
City : CHICO
State : CA
Zip : 95973-9455
Country : US
Telephone Number : 530-514-3152
Fax Number :
Provider Business Practice Location Address
First Line : 15162 LITTLE RON RD
Second Line :
City : CHICO
State : CA
Zip : 95973-9455
Country : US
Telephone Number : 530-514-3152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2008
Last Update Date : 05/08/2008

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Directions to “ MS. LAURIE ANN STOLLBERG LVN” Practice Location

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