Individual provider · Type 1 NPI

Keisha Lavender, RN, DR.PH STU

Registered Nurse · Pasadena, CA

NPI number 1619629771 Active

Practice location

2650 E Foothill Blvd
Pasadena, CA 91107-3439

Mailing address

1822 E Route 66
Glendora, CA 91740-3801

Other practice locations

  • 845 E Arrow Hwy, Pomona, CA 91767-2535 · (909) 624-1233

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X71760 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1619629771

Keisha Lavender, RN, DR.PH STU's National Provider Identifier is 1619629771, issued on Jan 20, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Pasadena, CA. The record was last updated on Jan 20, 2022.