Doctor Name: | LUCIA C LONDON |
NPI Number: | 1033394135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP1008572 |
Business Practice Address: | 230 Chapel Place Unit D101 Avon, CO - 81620 |
Business Phone Number: | 9705697715 |
Business Fax Number: | 9704706697 |
Mailing Address: | Po Box 40000, Occupational Health VAIL |
State: | CO |
Postal Code: | 81658 |
Phone Number: | 9705697715 |
Fax Number: | 9704706697 |
NPI Enumeration Date: | 01/08/2008 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP1008572 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |