Provider Demographics
NPI:1316419898
Name:FOX, LANI ELIZABETH (RN, BSN, PHN)
Entity type:Individual
Prefix:
First Name:LANI
Middle Name:ELIZABETH
Last Name:FOX
Suffix:
Gender:F
Credentials:RN, BSN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 S PATTERSON AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2056
Mailing Address - Country:US
Mailing Address - Phone:805-994-6159
Mailing Address - Fax:
Practice Address - Street 1:105 E ANAPAMU ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2000
Practice Address - Country:US
Practice Address - Phone:805-681-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA599154163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical