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Organization
LUCID SLEEP INC.
Active
Organization
LUCID SLEEP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKAEL ENEVOLDSEN RPSGT (CEO)
(877) 995-8243
Entity
Organization
Contact information
Practice address
313 E BUENA VISTA ST, SUITE 100, BARSTOW, CA 92311-2801
(877) 995-8243
(877) 995-8253
Mailing address
8333 FOOTHILL BLVD, SUITE 103, RANCHO CUCAMONGA, CA 91730-3154
(877) 995-8243
(877) 995-8253
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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