Provider Demographics
NPI:1104332840
Name:SILVA-LUJANO, ADRIANA (LVN)
Entity type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:
Last Name:SILVA-LUJANO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MISS
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2085 RUSTIN AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-2498
Mailing Address - Country:US
Mailing Address - Phone:951-358-4100
Mailing Address - Fax:951-358-4192
Practice Address - Street 1:2085 RUSTIN AVE STE 3
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2498
Practice Address - Country:US
Practice Address - Phone:951-358-4100
Practice Address - Fax:951-358-4192
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA292194164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse