Panjaitan, Lucyana Magrietta

Panjaitan, Lucyana Magrietta is an sole proprietor health care provider with primary practice located at 4500 Brockton Ave , Riverside CA 92501-4090. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Panjaitan, Lucyana Magrietta can be contacted via phone (951) 276-2760.

Contact Information

Primary practice address
4500 Brockton Ave Riverside CA 92501-4090
Fax: (951) 276-2960
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95007651 California

Profile Details

NPI number 1831656578
LBN Legal business name Panjaitan, Lucyana Magrietta
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2019
Last updated Sep 26th, 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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