Lucia, Robert John
Lucia, Robert John is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-3105. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Lucia, Robert John can be contacted via phone (309) 624-5001.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-3105
Phone: (309) 624-5001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.009104 | Illinois |
| Nursing Service Providers / Pediatrics | 163WP0200X | 041430849 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.020036 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 277.001430 | Illinois |
Profile Details
| NPI number | 1558727636 |
|---|---|
| LBN Legal business name | Lucia, Robert John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2016 |
| Last updated | Aug 4th, 2021 - about 5 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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