Pino, Lucienne

Pino, Lucienne is an individual health care provider with primary practice located at 2821 Island Ave , Philadelphia PA 19153-2300. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Pino, Lucienne can be contacted via phone (215) 492-9291.

Contact Information

Primary practice address
2821 Island Ave Philadelphia PA 19153-2300
Phone: (215) 492-9291
Fax: (215) 492-5856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS036824 Pennsylvania

Profile Details

NPI number 1235283060
LBN Legal business name Pino, Lucienne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Oct 15th, 2015 - about 11 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 1235283060 NPPES
Pennsylvania MEDICAID 101747272

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