Pino, Lucienne
Pino, Lucienne is an individual health care provider with primary practice located at 2821 Island Ave , Philadelphia PA 19153-2300. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Pino, Lucienne can be contacted via phone (215) 492-9291.Contact Information
Primary practice address
2821 Island Ave
Philadelphia PA 19153-2300
Phone: (215) 492-9291
Fax: (215) 492-5856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DS036824 | Pennsylvania |
Profile Details
| NPI number | 1235283060 |
|---|---|
| LBN Legal business name | Pino, Lucienne |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Oct 15th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235283060 | NPPES |
| Pennsylvania | MEDICAID | 101747272 |
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