Individual
LUCY EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1278 E LATHAM AVE, HEMET, CA 92543-4445
(951) 925-6625
(951) 658-0775
Mailing address
1963 N E ST, SAN BERNARDINO, CA 92405-3919
(909) 881-6146
(909) 881-3479
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
94028011
CA
363AM0700X
Medical Physician Assistant
Primary
PA18333
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2007
Last updated
11/18/2025
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