Holly Lucille N.D.

NPI 1013112556 - Family Medicine - 207Q00000X

NPI Details
NPI 1013112556
Gender Female
Enumeration Date 06/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6399 WILSHIRE BLVD
SUITE 401
LOS ANGELES CA, 90048-5703, US
Phone (323) 658-9151
Fax (815) 425-8815
Business Location
939 N ALFRED ST APT 2
LOS ANGELES CA, 90069-4777, US
Phone (310) 709-6519
Fax (815) 425-8815
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number ND-70
Remove 1013112556 NPI Number
 

According to our database, Holly Lucille N.D. NPI is 1013112556, taxonomy code is 207Q00000X and license number is ND-70, license state is located at California. Holly Lucille N.D. physically located at 6399 Wilshire Blvd, Los Angeles CA, 90048-5703. NPI Number Holly Lucille N.D. has the Individual type.

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1013112556 NPI number is provided on an as is basis without warranty of any kind. 1013112556 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Lucille N.D. are for informational purposes only.