Most Relevant Information
Provider Data
| NPI Number: | 1003538802 |
| Provider Name: | LYANNE DAISY DUARTE FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95021735 |
Most Important Dates
| Enumeration Date: | 09/19/2022 |
| Last Updated: | 09/25/2022 |
Provider Practice Location
4425 S CENTRAL AVE
LOS ANGELES
CA
900113629
Practice Location Phone/Fax
| Phone: | 3236967946 |
| Fax: |
Provider Mailing Location
9520 LEMORAN AVE
DOWNEY
CA
902403005
Provider Mailing Phone/Fax
| Phone: | 3106173562 |
| Fax: |