Provider Demographics
NPI:1649418419
Name:FINLEY, LARRY D I (LVN/LPN)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:D
Last Name:FINLEY
Suffix:I
Gender:M
Credentials:LVN/LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58475 SUNNY SANDS DR
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-1139
Mailing Address - Country:US
Mailing Address - Phone:619-607-2787
Mailing Address - Fax:
Practice Address - Street 1:58475 SUNNY SANDS DR
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-1139
Practice Address - Country:US
Practice Address - Phone:619-607-2787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-01
Last Update Date:2009-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200930011LPN164W00000X
CAVN237290164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse