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1699425785
ELVIN LUCCON
LOS ANGELES, CA
NPI
1699425785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95016465)
Enumeration Date
2022-03-24
Last Update Date
2022-09-12
Business Address
ELVIN LUCCON FNP
910 VINE ST
LOS ANGELES, CA 90038-2702
Phone number: 323-461-3106
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Mailing Address
ELVIN LUCCON FNP
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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