Provider Demographics
NPI:1174786875
Name:PASCUAL, LEA LYNETTE (AGNP)
Entity type:Individual
Prefix:MISS
First Name:LEA
Middle Name:LYNETTE
Last Name:PASCUAL
Suffix:
Gender:F
Credentials:AGNP
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Mailing Address - Street 1:1465 W 157TH ST APT D
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-3858
Mailing Address - Country:US
Mailing Address - Phone:310-329-3369
Mailing Address - Fax:310-329-3369
Practice Address - Street 1:2491 EAST ANAHEIM STREET
Practice Address - Street 2:# 3
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804
Practice Address - Country:US
Practice Address - Phone:562-989-1322
Practice Address - Fax:562-989-1322
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2013-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA17819363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health