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Lavanta Green
Student in an Organized Health Care Education/Training Program in Pittsburg, California
NPI 1164091740

Lavanta Green is a Student in an Organized Health Care Education/Training Program based in Antioch, CA. Lavanta Green practices in Pittsburg, CA. The NPI Number for Lavanta Green is 1164091740 and holds a License No. (California).

The current practice location address for Lavanta Green is 51 Marina Blvd, Pittsburg, CA and can be reached out via phone at 925-252-1111.

Location: 51 Marina Blvd, Pittsburg, CA, 94531-8142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164091740
Provider Name
Lavanta Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
51 Marina Blvd, Pittsburg, CA, 94531-8142
Phone Number
925-252-1111
Fax Number
Provider Enumeration Date
06/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15069212 01 CA KAISER PERMANENTE
institution
Provider Business Practice Location Address Details
Address
51 Marina Blvd
City
Pittsburg
State
California
Zip
94565-2068
Phone Number
925-252-1111
Fax Number
person
Provider Business Mailing Address Details
Address
51 Marina Blvd
City
Pittsburg
State
California
Zip
94565-2068
Phone Number
925-252-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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