Individual provider · Type 1 NPI
Lashun Fuller, NURSE PRACTITIONER
Family Nurse Practitioner · Long Beach, CA
NPI number
1730715442
Active
Practice location
5901 E 7th St
Long Beach, CA 90822-5201
Mailing address
4503 Goldfield Ave
Long Beach, CA 90807-1828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95014149 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1730715442
Lashun Fuller, NURSE PRACTITIONER's National Provider Identifier is 1730715442, issued on Mar 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Long Beach, CA. The record was last updated on Mar 14, 2020.