Diaz, Lucia Zoraida
Diaz, Lucia Zoraida is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Ste 200 , Austin TX 78723-3078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Dermatology, which is considered as her primary health care specialty. Diaz, Lucia Zoraida can be contacted via phone (512) 628-1920.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Ste 200
Austin TX 78723-3078
Phone: (512) 628-1920
Fax: (512) 628-1921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | P5172 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | A123654 | California |
Profile Details
| NPI number | 1043454515 |
|---|---|
| LBN Legal business name | Diaz, Lucia Zoraida |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2009 |
| Last updated | Mar 27th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043454515 | NPPES |
| Texas | MEDICAID | 340229902 | |
| Texas | MEDICAID | 340229901 |
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