Healthcare Provider Details

I. General information

NPI: 1215588454
Provider Name (Legal Business Name): IRENE FAY LUCIOUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2019
Last Update Date: 09/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14072 MARE LN
VICTORVILLE CA
92394-7527
US

IV. Provider business mailing address

14072 MARE LN
VICTORVILLE CA
92394-7527
US

V. Phone/Fax

Practice location:
  • Phone: 760-403-6079
  • Fax:
Mailing address:
  • Phone: 760-403-6079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: