Individual
EDELAINE QUINTO LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18637 YORBA LINDA BLVD, YORBA LINDA, CA 92886-4136
(714) 790-8600
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95019476
CA
363LF0000X
Family Nurse Practitioner
95019476
CA
363LF0000X
Family Nurse Practitioner
RN49717
NV
Other
Enumeration date
06/05/2018
Last updated
01/18/2024
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