Bouvier, Lucienne Simone
Bouvier, Lucienne Simone is an individual health care provider with primary practice located at 85 Sierra Park Rd , Mammoth Lakes CA 93546-2073. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bouvier, Lucienne Simone can be contacted via phone (760) 934-3311.Contact Information
Primary practice address
85 Sierra Park Rd
Mammoth Lakes CA 93546-2073
Phone: (760) 934-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G79050 | California |
Profile Details
| NPI number | 1578641601 |
|---|---|
| LBN Legal business name | Bouvier, Lucienne Simone |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | May 28th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578641601 | NPPES |
| California | MEDICAID | 00G790500 |
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