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General NPI Number Information
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NPI Number | 1023772837
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Entity Type | Individual
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Provider Name | LUCY KAROKI RN
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Gender | Female
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 3847 BELLAIRE AVE
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City | CLOVIS
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State | CA
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Zip | 93619-8537
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Country | US
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Telephone | 314-882-4652
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Fax |
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Provider Business Mailing Address
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Address Line | 9809 SUMMER GLEN WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-8323
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Country | US
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Telephone | 314-882-4652
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 95217780
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 95217780
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95217780
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License Number State | CA
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