Individual
MRS. MARGARITA LUCAS LEWIS-UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16854 IVY AVE STE A, FONTANA, CA 92335-1504
(909) 791-1000
(909) 781-6000
Mailing address
5853 VENTANA DR, FONTANA, CA 92336-5615
(909) 641-0717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
774371
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95033971
CA
Other
Enumeration date
08/14/2024
Last updated
06/10/2025
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