Individual provider · Type 1 NPI
Lynda Basile Stack, RN
Family Nurse Practitioner · Los Angeles, CA
NPI number
1659405306
Active
Practice location
6043 Hollywood Blvd
Los Angeles, CA 90028-5411
Fax (323) 337-1784
Mailing address
1406 N Benton Way
Los Angeles, CA 90026-2217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 7723 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659405306
Lynda Basile Stack, RN's National Provider Identifier is 1659405306, issued on Mar 15, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 27, 2014.