Provider Demographics
NPI:1861611733
Name:ANAT, LAURA LOBATON (LVN)
Entity type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:LOBATON
Last Name:ANAT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:ANAT
Other - Last Name:HERMOSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:31253 LILY STREET
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587
Mailing Address - Country:US
Mailing Address - Phone:510-475-0406
Mailing Address - Fax:
Practice Address - Street 1:1701 N GREEN VALLEY PKWY STE 9A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5991
Practice Address - Country:US
Practice Address - Phone:702-407-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
CAVN 109721164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No164X00000XNursing Service ProvidersLicensed Vocational Nurse