Provider Demographics
NPI:1952666000
Name:VASQUEZ-LAWSON, AZUCENA PALENZUELA (RN)
Entity Type:Individual
Prefix:MS
First Name:AZUCENA
Middle Name:PALENZUELA
Last Name:VASQUEZ-LAWSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1623 MARION DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-3722
Mailing Address - Country:US
Mailing Address - Phone:818-437-8076
Mailing Address - Fax:323-927-1628
Practice Address - Street 1:1623 MARION DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-3722
Practice Address - Country:US
Practice Address - Phone:818-437-8076
Practice Address - Fax:323-927-1628
Is Sole Proprietor?:No
Enumeration Date:2012-07-04
Last Update Date:2012-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA267072163WA2000X, 163WL0100X, 163WP1700X, 163WX0002X, 163WX0003X, 364SP1700X
ZZNMW0000963995367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP1700XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerinatal
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WP1700XNursing Service ProvidersRegistered NursePerinatal
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife