Provider Demographics
NPI:1689445868
Name:LALLMAN, ADRIANNA ALEXIS
Entity Type:Individual
Prefix:MRS
First Name:ADRIANNA
Middle Name:ALEXIS
Last Name:LALLMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72600 FRED WARING DR APT 3206
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-5237
Mailing Address - Country:US
Mailing Address - Phone:760-980-5825
Mailing Address - Fax:
Practice Address - Street 1:72600 FRED WARING DR APT 3206
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-5237
Practice Address - Country:US
Practice Address - Phone:760-980-5825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No133N00000XDietary & Nutritional Service ProvidersNutritionist