NPI 1053484998
Lassen Indian Health Center
Practice location
- Address
- 795 Joaquin St, Susanville, CA 96130-3628
- Phone
- (530) 251-5173
- Fax
- (530) 251-1846
Authorised official
- Name
- Lona Marie Marioneaux Ibanitoru
- Title
- Ceo
- Phone
- (530) 251-5173
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1053484998
- Entity type
- Organization
- NPI issued
- 16 Nov 2006
- Record last updated
- 4 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.