Individual
ALYCIA DE LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
92 ARGONAUT, SUITE 205, ALISO VIEJO, CA 92656-4116
(949) 916-8868
Mailing address
92 ARGONAUT, SUITE 205, ALISO VIEJO, CA 92656-4116
(949) 916-8868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
591974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0150193
MEDI-CAL
CA
Enumeration date
02/04/2016
Last updated
02/04/2016
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