Lucien, Sophonia

Lucien, Sophonia is an individual health care provider with primary practice located at 1290 Tremont St , Roxbury MA 02120-3432. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lucien, Sophonia can be contacted via phone (617) 427-1000.

Contact Information

Primary practice address
1290 Tremont St Roxbury MA 02120-3432
Phone: (617) 427-1000
Fax: (617) 858-2668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2262125 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2262125 Massachusetts

Profile Details

NPI number 1326390642
LBN Legal business name Lucien, Sophonia
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2012
Last updated Mar 7th, 2023 - about 3 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 1326390642 NPPES
Massachusetts MEDICAID 110139469A

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