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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELADIO MARIANO LACSAMANA TIZON, NP

Active

ELADIO MARIANO LACSAMANA TIZON, NP is a Nurse Practitioner healthcare provider located in LA HABRA, California. NPI 1073939781 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LA HABRA, CA

Registration Details

NPI Number
1073939781
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2014 (12.4117763244 yrs)
Last Updated
Apr 24, 2019
License
23647 (CA)

Practice Information

Address
1040 W IMPERIAL HWY STE D
LA HABRA, CA, 906310608
Browse CA providers · Browse ZIP 90631
Phone
7144511072
Fax
7144511078
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in LA HABRA, CA

Name Credential NPI
MRS. LINDA C REYES NP 1619984846
LINDA DOUGLASS AGACNP-BC 1356951347
ANNIE MARIE FERRER FNP 1407686124
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.