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Individual

LUCY A. TROUTMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
7000 BOULDER AVE, HIGHLAND, CA 92346-3348
(909) 862-1191
(909) 796-4158
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311
(909) 796-4158

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4761
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ02847Z
CA
Enumeration date
06/05/2006
Last updated
07/08/2007
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