Lillian H Pak, FNP-C | |
127 W Pine Ave, Lompoc, CA 93436-4023 | |
(805) 740-2000 | |
Not Available |
Full Name | Lillian H Pak |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 127 W Pine Ave, Lompoc, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629690946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 9502258 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95016654 (California) | Primary |
Entity Name | Villagehealth Dm Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20211012000432 |
Mailing Address | Practice Location Address |
---|---|
Lillian H Pak, FNP-C 127 W Pine Ave, Lompoc, CA 93436-4023 Ph: (805) 740-2000 | Lillian H Pak, FNP-C 127 W Pine Ave, Lompoc, CA 93436-4023 Ph: (805) 740-2000 |
Melissa Marian Fayram, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 E Ocean Ave Ste 2, Lompoc, CA 93436 Phone: 805-743-4776 | |
Ayano Itoh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-737-8700 | |
Julianne Noelani Mcgandy, NPF Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 N R St, Lompoc, CA 93436 Phone: 805-737-6400 Fax: 805-737-6430 | |
Victoria Ranti Balogun, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4192 Polaris Ave, Lompoc, CA 93436 Phone: 864-551-5536 | |
Miranda Pierce, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 136 N Third St, Lompoc, CA 93436 Phone: 805-736-1253 | |
Rani K Falconer, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 North R Street, Lompoc, CA 93436 Phone: 805-737-6400 Fax: 805-737-6458 | |
Whitney Nicole White, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 W Central Ave Ste G, Lompoc, CA 93436 Phone: 805-735-4292 Fax: 805-735-4293 |