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Lana Madanat, MSN,RN,CPNP
Pediatric Nurse Practitioner in San Dimas, California
NPI 1144622507

Lana Madanat is a Pediatric Nurse Practitioner based in San Dimas, CA and is specialized in Pediatrics. Lana Madanat practices in San Dimas, CA and has the professional credentials of MSN,RN,CPNP. The NPI Number for Lana Madanat is 1144622507 and holds a License No. 20140827 (California).

The current practice location address for Lana Madanat is 1330 W Covina Blvd Ste 106, San Dimas, CA and can be reached out via phone at 909-599-6876.

Location: 1330 W Covina Blvd Ste 106, San Dimas, CA, 91773-3200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144622507
Provider Name
Lana Madanat
Credential
MSN,RN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
1330 W Covina Blvd Ste 106, San Dimas, CA, 91773-3200
Phone Number
909-599-6876
Fax Number
Provider Enumeration Date
09/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1330 W Covina Blvd Ste 106
City
San Dimas
State
California
Zip
91773-3200
Phone Number
909-599-6876
Fax Number
person
Provider Business Mailing Address Details
Address
1330 W Covina Blvd Ste 106
City
San Dimas
State
California
Zip
91773-3200
Phone Number
909-599-6876
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
20140827 (California)
Definition
Definition to come...
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