Lacera, Jacquelyn V
Lacera, Jacquelyn V is an individual health care provider with primary practice located at 830 Magnolia Ave , Corona CA 92879-3128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lacera, Jacquelyn V can be contacted via phone (951) 493-6906.Contact Information
Primary practice address
830 Magnolia Ave
Corona CA 92879-3128
Phone: (951) 493-6906
Fax: (951) 272-4839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A76173 | California |
Profile Details
| NPI number | 1063499200 |
|---|---|
| LBN Legal business name | Lacera, Jacquelyn V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Dec 29th, 2010 - about 15 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 | 1063499200 | NPPES |
| Other | 1730180415 | GROUP NPI # |
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