Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lavanta Green

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164091740

Lavanta Green is a Student in an Organized Health Care Education/Training Program in Pittsburg, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

51 Marina Blvd
Pittsburg, CA 94565-2068
Phone: (925) 252-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1266 14th St, Oakland, CA 94607-2247 — (510) 882-7791

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1164091740
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2021
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021
Mailing address5000 Woodmont Way, Antioch, CA 94531-8142

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