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
Phone: (951) 276-2760
Fax: (951) 276-2960
Website:
Health care specialties
| Specialty | Code | License # | 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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