Organization
LUCID SLEEP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISBET NELSON (ADMIN MANAGER)
(877) 995-8243
Entity
Organization
Contact information
Practice address
12600 HESPERIA RD, STE. D, VICTORVILLE, CA 92395-5899
(760) 843-0220
(760) 843-0229
Mailing address
8333 FOOTHILL BLVD, STE 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
2558471
CA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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