Basic Information
Provider Information
NPI: 1245352640
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURANY
FirstName: LUANNE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: L.V.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5790 FRIARS RD UNIT E5
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921101860
CountryCode: US
TelephoneNumber: 6192965115
FaxNumber:  
Practice Location
Address1: 3853 ROSECRANS ST
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921103115
CountryCode: US
TelephoneNumber: 6196928222
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
164X00000XVN124253CAY Nursing Service ProvidersLicensed Vocational Nurse 

No ID Information.


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