Individual
MR. STANLEY LOUIE LECORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
600 N HUMBOLDT AVE APT 265, WILLOWS, CA 95988-3534
(530) 934-3774
Mailing address
PO BOX 762, WILLOWS, CA 95988-0762
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
015545
CA
344600000X
Taxi
015545
CA
347B00000X
Bus
015545
—
347E00000X
Transportation Broker
015545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015545
PUC
CA
Enumeration date
01/26/2007
Last updated
05/13/2011
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