Kucia-Park, Lori Ann
Kucia-Park, Lori Ann is an individual health care provider with primary practice located at 919 13Th Avenue , Delano CA 93215-2202. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kucia-Park, Lori Ann can be contacted via phone (661) 725-3795.Contact Information
Primary practice address
919 13Th Avenue
Delano CA 93215-2202
Phone: (661) 725-3795
Fax: (661) 725-3797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 11801 | California |
Profile Details
| NPI number | 1407078470 |
|---|---|
| LBN Legal business name | Kucia-Park, Lori Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1407078470 | NPPES |
| California | MEDICAID | SD0118010 |
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