Provider Demographics
NPI:1912533860
Name:LEMUS, MARIA (FNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LEMUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6513 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BELL
Mailing Address - State:CA
Mailing Address - Zip Code:90201-2521
Mailing Address - Country:US
Mailing Address - Phone:323-581-1649
Mailing Address - Fax:323-581-3472
Practice Address - Street 1:6513 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201-2521
Practice Address - Country:US
Practice Address - Phone:323-581-1649
Practice Address - Fax:323-581-3472
Is Sole Proprietor?:No
Enumeration Date:2020-03-22
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014244363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily