Lachtchouk, Sousanna

Lachtchouk, Sousanna is an individual health care provider with primary practice located at 6200 Wilshire Blvd Suite 1212, Los Angeles CA 90048-5813. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lachtchouk, Sousanna can be contacted via phone (323) 933-7200.

Contact Information

Primary practice address
6200 Wilshire Blvd Suite 1212 Los Angeles CA 90048-5813
Phone: (323) 933-7200
Fax: (323) 933-7250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP11055 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP11055 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP11055 California

Profile Details

NPI number 1982654844
LBN Legal business name Lachtchouk, Sousanna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982654844 NPPES
California MEDICAID NP0110550

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