Doctor Name: | MR. LUCIEN C. MORIN |
NPI Number: | 1053748483 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, PMHNP-BC |
License Number: | 379858 |
Business Practice Address: | 2626 Maple Ave Morro Bay, CA - 93442 |
Business Phone Number: | 8054407708 |
Business Fax Number: | |
Mailing Address: | 2626 Maple Ave, MORRO BAY |
State: | CA |
Postal Code: | 93442 |
Phone Number: | 8057711858 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2013 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 379858 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |