Individual provider · Type 1 NPI
Lajean Avon Forbes, CNM
Obstetrics & Gynecology Nurse Practitioner · Moreno Valley, CA
NPI number
1013093103
Active
Practice location
12712 Heacock St, Suite 7
Moreno Valley, CA 92553-3037
Fax (951) 601-9302
Mailing address
1621 Valley Falls Ave
Redlands, CA 92374-2777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | CNM 1458 (CA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1013093103
Lajean Avon Forbes, CNM's National Provider Identifier is 1013093103, issued on Oct 31, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 8, 2007.