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AMANDA K LAC DO
NPI 1760234967
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 02, 2024
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-6688 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda K Lac Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA K LAC DO (NPI 1760234967) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1760234967
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA K LACCredential: DO
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson Street, Gme Office Westerly Suite 'c'Loma Linda, CA 92354-2804
Phone(909) 558-6688
Sole ProprietorYes
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1760234967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11234 ANDERSON ST, Loma Linda, CA 92354
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Lac's NPI number?

The NPI number for Amanda Lac is 1760234967. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Amanda Lac located?

Amanda Lac practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-6688.

What is Amanda Lac's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Lac was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.