Individual provider · Type 1 NPI

Sousanna Lachtchouk, NP

Nurse Practitioner · Los Angeles, CA

NPI number 1982654844 Active

Practice location

6200 Wilshire Blvd, Suite 1212
Los Angeles, CA 90048-5813

Fax (323) 933-7250

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP11055 (CA)
Family Nurse Practitioner 363LF0000XNP11055 (CA)
Primary Care Nurse Practitioner 363LP2300XNP11055 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1982654844

Sousanna Lachtchouk, NP's National Provider Identifier is 1982654844, issued on May 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 13, 2026.