Individual provider · Type 1 NPI

Lavanta Green

Student in an Organized Health Care Education/Training Program · Pittsburg, CA

NPI number 1164091740 Active

Practice location

51 Marina Blvd
Pittsburg, CA 94565-2068

Call (925) 252-1111 Map

Mailing address

5000 Woodmont Way
Antioch, CA 94531-8142

Other practice locations

  • 1266 14th St, Oakland, CA 94607-2247 · (510) 882-7791

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

24 other providers at this address

Other student in an organized health care education/training program providers in Pittsburg

See all in Pittsburg →

About NPI 1164091740

Lavanta Green's National Provider Identifier is 1164091740, issued on Jun 18, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pittsburg, CA. The record was last updated on Jun 18, 2021.