Individual
LINCOLN KENNEDY VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
9330 WASHINGTON BLVD, PICO RIVERA, CA 90660-3838
(818) 430-9861
Mailing address
5900 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2914
(818) 430-9861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95011652
CA
Other
Enumeration date
04/24/2019
Last updated
06/07/2022
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