Lucid Lane Providers, P.C.

LBN: Lucid Lane Providers, P.C.
Lucid Lane Providers, P.C. is an health care organization with primary practice located at 3251 Place Du Jardin Optional, San Jose CA 95148-9514. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Lucid Lane Providers, P.C. can be contacted via phone (630) 589-2730, or through Siddiqui, Mubeena via phone (630) 589-2730.

Contact Information

Primary practice address
3251 Place Du Jardin Optional San Jose CA 95148-9514
Phone: (630) 589-2730
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Siddiqui, Mubeena Master of Arts (MA)
Phone: (630) 589-2730

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1912507021
LBN Legal business name Lucid Lane Providers, P.C.
DBA Doing business as Lucid Lane Providers, P.C.
Authorized official Siddiqui, Mubeena Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2020
Last updated Jan 29th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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