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
Fax: (661) 725-3797
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407078470 NPPES
California MEDICAID SD0118010

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