Individual provider · Type 1 NPI
Lisa Vitchayanonda, FNP
Family Nurse Practitioner · Loma Linda, CA
NPI number
1740371590
Active
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Fax (909) 777-3886
Mailing address
1032 Mission Grove Pkwy N
Riverside, CA 92506-6224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN370120 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740371590
Lisa Vitchayanonda, FNP's National Provider Identifier is 1740371590, issued on Sep 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 8, 2007.