Provider Demographics
NPI:1881583797
Name:BURTON, LENA N (LVN)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:N
Last Name:BURTON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4147 CAMERON WAY UNIT 107
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-4414
Mailing Address - Country:US
Mailing Address - Phone:323-855-4053
Mailing Address - Fax:
Practice Address - Street 1:4147 CAMERON WAY UNIT 107
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4414
Practice Address - Country:US
Practice Address - Phone:323-855-4053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN219894164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse