Individual provider · Type 1 NPI

Lucenda Bonner Lewis

Student in an Organized Health Care Education/Training Program · Pasadena, CA

NPI number 1902045123 Active

Practice location

1460 N Lake Ave, Suite 107
Pasadena, CA 91104-2300

Call (626) 398-3796 Map

Fax (626) 398-3895

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902045123

Lucenda Bonner Lewis's National Provider Identifier is 1902045123, issued on Feb 11, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Feb 11, 2009.