Individual provider · Type 1 NPI

Renisha Gilliam, LVN, RN

Licensed Vocational Nurse · Lancaster, CA

NPI number 1013882786 Active

Practice location

335 E Avenue I
Lancaster, CA 93535-1916

Call (661) 471-4324 Map

Fax (661) 524-2918

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X707786 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1013882786

Renisha Gilliam, LVN, RN's National Provider Identifier is 1013882786, issued on Oct 10, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Lancaster, CA. The record was last updated on Oct 10, 2025.