Individual
LUCILA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.M.,N.P.
Contact information
Practice address
1860 PENNSYLVANIA AVE, SUITE 300A, FAIRFIELD, CA 94533-3590
(707) 438-7600
(707) 429-8604
Mailing address
4315 MELODY LN, VALLEJO, CA 94591-6355
(707) 648-1137
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
488965
CA
367A00000X
Advanced Practice Midwife
Primary
1346
CA
Other
Enumeration date
11/13/2006
Last updated
09/11/2025
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