Diaz, Lucia Zoraida

Diaz, Lucia Zoraida is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Ste 200 , Austin TX 78723-3078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Dermatology, which is considered as her primary health care specialty. Diaz, Lucia Zoraida can be contacted via phone (512) 628-1920.

Contact Information

Primary practice address
1301 Barbara Jordan Blvd Ste 200 Austin TX 78723-3078
Fax: (512) 628-1921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X P5172 Texas
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X A123654 California

Profile Details

NPI number 1043454515
LBN Legal business name Diaz, Lucia Zoraida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Mar 27th, 2017 - about 8 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 1043454515 NPPES
Texas MEDICAID 340229902
Texas MEDICAID 340229901

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