Basic Information
Provider Information
NPI: 1841379336
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CRANFORD
FirstName: LIMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2350 W. EL CAMINO REAL
Address2: 2ND FLOOR
City: MOUTAIN VIEW
State: CA
PostalCode: 940406203
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4050 DUBLIN BLVD
Address2:  
City: DUBLIN
State: CA
PostalCode: 945683112
CountryCode: US
TelephoneNumber: 9258756100
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/03/2006
LastUpdateDate: 07/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XNP14044CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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