Individual provider · Type 1 NPI

Lolly Russell

Licensed Vocational Nurse · Pomona, CA

NPI number 1962962340 Active

Practice location

2180 Valley Blvd
Pomona, CA 91768-3325

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4597

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X187837 (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 1962962340

Lolly Russell's National Provider Identifier is 1962962340, issued on Mar 22, 2019. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Pomona, CA. The record was last updated on Mar 22, 2019.