Luckanavanich, Stephanie Marie Lee

Luckanavanich, Stephanie Marie Lee is an sole proprietor health care provider with primary practice located at 5901 E 7Th St , Long Beach CA 90822-5201. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Luckanavanich, Stephanie Marie Lee can be contacted via phone (562) 826-8000.

Contact Information

Primary practice address
5901 E 7Th St Long Beach CA 90822-5201
Phone: (562) 826-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 95018256 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95018256 California

Profile Details

NPI number 1710749445
LBN Legal business name Luckanavanich, Stephanie Marie Lee
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2024
Last updated Jan 29th, 2024 - 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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