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Laurence Nikko Crisostomo, NP
Family Nurse Practitioner in Elk Grove, California
NPI 1760979637

Laurence Nikko Crisostomo is a Family Nurse Practitioner based in Lincoln, CA and is specialized in Family. Laurence Nikko Crisostomo practices in Elk Grove, CA and has the professional credentials of NP. The NPI Number for Laurence Nikko Crisostomo is 1760979637 and holds a License No. NP95005664 (California).

The current practice location address for Laurence Nikko Crisostomo is 6617 Tronzano Way, Elk Grove, CA and can be reached out via phone at 916-627-6663.

Location: 6617 Tronzano Way, Elk Grove, CA, 95648-8096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760979637
Provider Name
Laurence Nikko Crisostomo
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
6617 Tronzano Way, Elk Grove, CA, 95648-8096
Phone Number
916-627-6663
Fax Number
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6617 Tronzano Way
City
Elk Grove
State
California
Zip
95757-3057
Phone Number
916-627-6663
Fax Number
person
Provider Business Mailing Address Details
Address
6617 Tronzano Way
City
Elk Grove
State
California
Zip
95757-3057
Phone Number
916-627-6663
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95005664 (California)
Definition
Definition to come...
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