ELVIN LUCCON

LOS ANGELES, CA
NPI1699425785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95016465)
Enumeration Date2022-03-24
Last Update Date2022-09-12
Business Address
ELVIN LUCCON FNP
910 VINE ST
LOS ANGELES, CA 90038-2702
Phone number: 323-461-3106
Mailing Address
ELVIN LUCCON FNP
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: