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

Sully Lazalde Nevarez

Individual provider Licensed Vocational Nurse · NPI 1700710027

Sully Lazalde Nevarez is a Licensed Vocational Nurse in Lake Elsinore, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

34257 Kalanchoe Rd
Lake Elsinore, CA 92532-2996
Phone: (951) 244-7657
Fax: (951) 244-7657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 205197 (CA)

Record details

NPI number1700710027
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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