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1558727636 NPI number — ROBERT JOHN LUCIA DNP, APRN-FPA, FNP

NPI Number: 1558727636
Health Care Provider/Practitioner: ROBERT JOHN LUCIA DNP, APRN-FPA, FNP

Information about “1558727636” NPI (ROBERT JOHN LUCIA DNP, APRN-FPA, FNP) exists in 1558727636 in HTML format HTML  |  1558727636 in plain Text format TXT  |  1558727636 in PDF (Portable Document Format) PDF  |  1558727636 in an XML format XML  formats.

NPI Number : 1558727636 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558727636",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUCIA",
    "FirstName": "ROBERT",
    "MiddleName": "JOHN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DNP, APRN-FPA, FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3248 VAN DE VER AVE",
    "SecondLineMailingAddress": "SUITE B",
    "MailingAddressCityName": "PEKIN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61554",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "309-680-7600",
    "MailingAddressFaxNumber": "309-495-8698",
    "FirstLinePracticeLocationAddress": "3248 VAN DE VER AVE",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "PEKIN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61554",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "309-680-7600",
    "PracticeLocationAddressFaxNumber": "309-495-8698",
    "EnumerationDate": "01/06/2016",
    "LastUpdateDate": "02/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "277.001430",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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