Individual provider · Type 1 NPI

Lisa Iwanyczko, LVN

Licensed Vocational Nurse · Fair Oaks, CA

NPI number 1790308799 Active

Practice location

8946 Madison Ave
Fair Oaks, CA 95628-4010

Mailing address

9032 Havering Dr
Roseville, CA 95747-9598

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X270176 (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 1790308799

Lisa Iwanyczko, LVN's National Provider Identifier is 1790308799, issued on May 26, 2020. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Fair Oaks, CA. The record was last updated on May 26, 2020.