Provider Demographics
NPI:1184933053
Name:LAGUNA, LUZ (RN)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:
Last Name:LAGUNA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 BLACK PINE RD
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-4708
Mailing Address - Country:US
Mailing Address - Phone:909-576-9519
Mailing Address - Fax:
Practice Address - Street 1:2334 BLACK PINE RD
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-4708
Practice Address - Country:US
Practice Address - Phone:909-576-9519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA333421163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management