Provider Demographics
NPI:1336450741
Name:GUERRERO, LANCE CHRISTOPHER UNIZA (CRNA)
Entity Type:Individual
Prefix:
First Name:LANCE CHRISTOPHER
Middle Name:UNIZA
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 E DEL MAR BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4816
Mailing Address - Country:US
Mailing Address - Phone:323-823-1211
Mailing Address - Fax:
Practice Address - Street 1:2551 E DEL MAR BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-4816
Practice Address - Country:US
Practice Address - Phone:323-823-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3959367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered