Luckey, Sonia Gordon

Luckey, Sonia Gordon is an sole proprietor health care provider with primary practice located at 638 Camino De Los Mares , San Clemente CA 92673. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Luckey, Sonia Gordon can be contacted via phone (949) 494-8426.

Contact Information

Primary practice address
638 Camino De Los Mares San Clemente CA 92673
Phone: (949) 494-8426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202000873 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60944156 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN449787 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN449787 California

Profile Details

NPI number 1093242851
LBN Legal business name Luckey, Sonia Gordon
Credentials DNP, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated Apr 16th, 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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