LYSANDER ALTO NP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1063020766- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP-C
- Status
- Active
Contact & Location
- Address
- 631 S BROOKHURST ST STE A, ANAHEIM, CA, 928043510
- Phone
- (714) 991-5700
Specialties & Taxonomies
Nurse Practitioner
License: CA #95014191
Nurse Practitioner, Family
Primary License: CA #95014191