Lillian Landry

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

699355 Issued in CA

Practice address

7965 Sierra Ave Ste E
Fontana, CA 92336-3329

Phone

(909) 356-4459

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1295352458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 SIX M RANCH LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360432",
            "telephone_number": "909-936-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 SIERRA AVE STE E",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363329",
            "telephone_number": "909-356-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "LILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "699355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris V Lam, PA
• Kayla Lam
• Vicky Munwah Lam, PHARM.D.
• Mark Jonathan Landau, M.D., PH.D.
• Levin Alexander Gamaliel Landaverde Ventura Jr.
• Kenneth C. Lane, MD
• Karla D Lange, CRNA
• Melissa Danielle Langford
• Janet B. Langsdon, MD
• Quiana Langston, NONE

• Licensed Vocational Nurse in Fontana, CA
• Providers in Fontana, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.