Provider Demographics
NPI:1871338731
Name:CAPOROSSI, LISA ANN (LVN)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:CAPOROSSI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:ANN
Other - Last Name:ZANIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:8087 E CARMEN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93737-9790
Mailing Address - Country:US
Mailing Address - Phone:559-960-5041
Mailing Address - Fax:
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207442164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse