Provider Demographics
NPI:1831705839
Name:POLLERANA, LENA CRISTINA
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:CRISTINA
Last Name:POLLERANA
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 1:7281 DUMOSA AVE STE 3&4
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-3769
Mailing Address - Country:US
Mailing Address - Phone:760-853-4888
Mailing Address - Fax:760-418-2201
Practice Address - Street 1:7821 DUMOSA AVE STE. 3&4
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-5818
Practice Address - Country:US
Practice Address - Phone:760-853-4888
Practice Address - Fax:760-418-2201
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker