Individual
MRS. LUCY DAWN GIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4968 BOOTH CIR, IRVINE, CA 92604-3360
(949) 387-4900
Mailing address
24422 AVENIDA DE LA CARLOTA STE 300, LAGUNA HILLS, CA 92653-3628
(959) 599-2434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95039080
CA
363L00000X
Nurse Practitioner
Primary
95001548
CA
363LP0200X
Pediatric Nurse Practitioner
95001548
CA
Other
Enumeration date
10/10/2014
Last updated
08/26/2025
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