| Doctor Name: | LAJEAN AVON FORBES |
| NPI Number: | 1013093103 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM |
| License Number: | CNM 1458 |
| Business Practice Address: | 12712 Heacock St Suite 7 Moreno Valley, CA - 925533037 |
| Business Phone Number: | 9519246824 |
| Business Fax Number: | 9516019302 |
| Mailing Address: | 1621 Valley Falls Ave, REDLANDS |
| State: | CA |
| Postal Code: | 923742777 |
| Phone Number: | 9097943411 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | CNM 1458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |