Individual
LUCY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8635 W 3RD ST STE 590, LOS ANGELES, CA 90048-6110
(310) 423-0654
(310) 423-7280
Mailing address
8635 W 3RD ST STE 590, LOS ANGELES, CA 90048-6110
(310) 423-0654
(310) 423-7280
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP 10121
CA
Other
Enumeration date
08/19/2007
Last updated
08/19/2007
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