Individual
LUCIA DE LA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 768-1502
Mailing address
17352 GLASGOW CIR, YORBA LINDA, CA 92886-3811
(714) 768-1502
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95021709
CA
Other
Enumeration date
10/06/2022
Last updated
10/28/2025
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