Individual provider · Type 1 NPI

Sully Lazalde Nevarez

Licensed Vocational Nurse · Lake Elsinore, CA

NPI number 1700710027 Active

Practice location

34257 Kalanchoe Rd
Lake Elsinore, CA 92532-2996

Call (951) 244-7657 Map

Fax (951) 244-7657

Mailing address

35432 Saddle Hill Rd
Lake Elsinore, CA 92532-2589

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X205197 (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 1700710027

Sully Lazalde Nevarez's National Provider Identifier is 1700710027, issued on Jun 11, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Jun 11, 2026.