LYSANDER ALTO

ANAHEIM, CA
NPI1063020766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95014191)
Enumeration Date2020-07-20
Last Update Date2020-07-20
Business Address
LYSANDER ALTO NP-C
631 S BROOKHURST ST STE A
ANAHEIM, CA 92804-3510
Phone number: 714-991-5700
Mailing Address
LYSANDER ALTO NP-C
631 S BROOKHURST ST STE 101
ANAHEIM, CA 92804-3563
Phone number: 714-991-5700
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