Lucero, Ethel Roman

Lucero, Ethel Roman is an individual health care provider with primary practice located at 14624 Sherman Way 201, Van Nuys CA 91405-2241. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lucero, Ethel Roman can be contacted via phone (818) 988-8410.

Contact Information

Primary practice address
14624 Sherman Way 201 Van Nuys CA 91405-2241
Phone: (818) 988-8410
Fax: (818) 988-8409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 28150 California

Profile Details

NPI number 1093786154
LBN Legal business name Lucero, Ethel Roman
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093786154 NPPES
California Other WPT28150A PPIN

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