Most Relevant Information
Provider Data
| NPI Number: | 1003561572 |
| Provider Name: | LANA LAURENTE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/14/2022 |
| Last Updated: | 02/14/2022 |
Provider Practice Location
6400 TUPELO DR
CITRUS HEIGHTS
CA
956211741
Practice Location Phone/Fax
| Phone: | 9167293098 |
| Fax: |
Provider Mailing Location
9992 BOBBELL CT
ELK GROVE
CA
957578195
Provider Mailing Phone/Fax
| Phone: | 9167010065 |
| Fax: |