Lacera, Jacquelyn V
Lacera, Jacquelyn V is an individual health care provider with primary practice located at 21634 Retreat Pkwy , Corona CA 92883-6100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lacera, Jacquelyn V can be contacted via phone (951) 493-6906.Contact Information
Primary practice address
21634 Retreat Pkwy
Corona CA 92883-6100
Phone: (951) 493-6906
Fax: (951) 826-8157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A76173 | California |
Profile Details
| NPI number | 1063499200 |
|---|---|
| LBN Legal business name | Lacera, Jacquelyn V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 30th, 2025 - about last year |
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 | 1063499200 | NPPES |
| Other | 1730180415 | GROUP NPI # |
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