Luong, Lucille Rose

Luong, Lucille Rose is an sole proprietor health care provider with primary practice located at 25301 Pico Vista Way , Moreno Valley CA 92557-5222. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Luong, Lucille Rose can be contacted via phone (815) 994-6795.

Contact Information

Primary practice address
25301 Pico Vista Way Moreno Valley CA 92557-5222
Phone: (815) 994-6795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1487283784
LBN Legal business name Luong, Lucille Rose
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2020
Last updated Apr 7th, 2020 - about 4 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 1487283784 NPPES
Other 86038485 COMMISSION ON DIETETIC REGISTRATION

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