Individual provider · Type 1 NPI
Heather Melissa Lansill, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Los Angeles, CA
NPI number
1508413022
Active
Practice location
400 W 30th St
Los Angeles, CA 90007-3320
Mailing address
5707 Canoe Dr
Eastvale, CA 92880-7248
Other practice locations
- 3711 Long Beach Blvd Ste 101B, Long Beach, CA 90807-3300 · (562) 424-8770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95011302 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1508413022
Heather Melissa Lansill, NURSE PRACTITIONER's National Provider Identifier is 1508413022, issued on Aug 20, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 8, 2023.