LAZANYA LORENE RAGSTER JOHNSON


Address: 3415 Martin Luther King Blvd, Sacremento, CA 95817
Phone: 9168752932

LAZANYA LORENE RAGSTER JOHNSON (NPI# 1801852389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801852389
Entity Type Individual
Full Name LAZANYA LORENE RAGSTER JOHNSON
Credential RN
Practice Address 3415 Martin Luther King Blvd
Sacremento
CA 95817
Mailing Address 6584 Sunnyfield Way
Sacramento
CA 95823
Practice Telephone 9168752932
Mailing Telephone 9166819432
Enumeration Date 2006-04-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 163WM0705X Registered Nurse
Specialization: Medical-Surgical
593498 CA Nursing Service Providers
X 163WP0200X Registered Nurse
Specialization: Pediatrics
593498 CA Nursing Service Providers

Office Location

Street Address 3415 MARTIN LUTHER KING BLVD
City SACREMENTO
State CA
Zip Code 95817

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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City SACREMENTO
Zip Code 95817

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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