| Doctor Name: | LANI CO |
| NPI Number: | 1093190647 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 776887 |
| Business Practice Address: | 1150 Fremont Blvd Seaside, CA - 939555715 |
| Business Phone Number: | 8318998107 |
| Business Fax Number: | 8318998128 |
| Mailing Address: | 1150 Fremont Blvd, SEASIDE |
| State: | CA |
| Postal Code: | 939555715 |
| Phone Number: | 8318998107 |
| Fax Number: | 8318998128 |
| NPI Enumeration Date: | 07/24/2015 |
| NPI Last Update Date: | 07/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 776887 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |