Provider Demographics
NPI:1366006918
Name:NYENPAN, LOLA MICHELLE
Entity Type:Individual
Prefix:
First Name:LOLA
Middle Name:MICHELLE
Last Name:NYENPAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LOLA
Other - Middle Name:MICHELLE
Other - Last Name:ARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2150 N VICTORIA AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-7791
Mailing Address - Country:US
Mailing Address - Phone:805-382-6296
Mailing Address - Fax:805-382-9487
Practice Address - Street 1:2150 N VICTORIA AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-7791
Practice Address - Country:US
Practice Address - Phone:805-382-6296
Practice Address - Fax:805-382-9487
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)