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NPI Code Detail

MEDICARE: GLADYS LUA FNP-C

MEDICARE: GLADYS LUA FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner95039724CA

General Provider Information

NPI Number : 1184555427
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLADYS LUA FNP-C
Provider Business Mailing Address
First Line : 45450 FAIRBANKS AVE
Second Line :
City : LANCASTER
State : CA
Zip : 93534-5137
Country : US
Telephone Number : 661-537-3839
Fax Number :
Provider Business Practice Location Address
First Line : 1600 W AVENUE J
Second Line :
City : LANCASTER
State : CA
Zip : 93534-2814
Country : US
Telephone Number : 661-949-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ GLADYS LUA FNP-C” Practice Location

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