Luce, Serena L

Luce, Serena L is an individual health care provider with primary practice located at 1650 Chambers St , Eugene OR 97402-3636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Luce, Serena L can be contacted via phone (541) 686-1711.

Contact Information

Primary practice address
1650 Chambers St Eugene OR 97402-3636
Phone: (541) 686-1711
Fax: (541) 686-6018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2005038794 Missouri

Profile Details

NPI number 1821067489
LBN Legal business name Luce, Serena L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 9th, 2014 - about 10 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 1821067489 NPPES
Oregon MEDICAID 500652089
Oregon Other 1821067489

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