Whitaker, Lucille Amelia

Whitaker, Lucille Amelia is an sole proprietor health care provider with primary practice located at 575 Price St Suite 313, Pismo Beach CA 93449-2553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Whitaker, Lucille Amelia can be contacted via phone (805) 201-9135.

Contact Information

Primary practice address
575 Price St Suite 313 Pismo Beach CA 93449-2553
Phone: (805) 201-9135
Fax: (805) 201-9134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 348574 California

Profile Details

NPI number 1467731430
LBN Legal business name Whitaker, Lucille Amelia
Credentials 11434
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2011
Last updated Aug 9th, 2011 - about 13 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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