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NPI Code Detail

MEDICARE: MS. LUCINDA A. TORGERSON PA

MEDICARE: MS. LUCINDA A. TORGERSON PA
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
1363AM0700XMedical Physician Assistant085002592IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1085002592OTHERILLICENSE

General Provider Information

NPI Number : 1932110368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUCINDA A. TORGERSON PA
Provider Business Mailing Address
First Line : 1721 MOON LAKE BLVD
Second Line : STE 150
City : HOFFMAN ESTATES
State : IL
Zip : 60169-1069
Country : US
Telephone Number : 847-519-3651
Fax Number : 847-519-3652
Provider Business Practice Location Address
First Line : 1721 MOON LAKE BLVD
Second Line : SUITE 150
City : HOFFMAN ESTATES
State : IL
Zip : 60169-1069
Country : US
Telephone Number : 847-519-3651
Fax Number : 847-519-3652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 02/27/2012

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