LYNDA BASILE STACK

LOS ANGELES, CA
NPI1659405306
Professional NameLYNDA BASILE STACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  7723)
Enumeration Date2007-03-15
Last Update Date2014-06-27
Business Address
Ms. LYNDA BASILE STACK RN
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028-5411
Phone number: 323-337-1770
Mailing Address
Ms. LYNDA BASILE STACK RN
1406 N BENTON WAY
LOS ANGELES, CA 90026-2217
Phone number: 323-395-4845