Lookup NPI Numbers from the NPI Registry
NPI Profile for LUCID LANE PROVIDERS PC in SAN JOSE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Occupational Medicine |
2083X0100X | 84 | Physician/Preventive Medicine | |
Professional |
101YP2500X | |||
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1912507021 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/28/2020 | |
| Last updated | 01/29/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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| JOHN J REDINSKI, DO 225 N JACKSON AVE SAN JOSE, CA |
| MICHELLE MECCA 1075 E SANTA CLARA ST SAN JOSE, CA |
| LYNDA M WASHINGTON, LCSW 160 E VIRGINIA ST SAN JOSE, CA |
| JENNY LIU, DO 751 S. BASCOM AVE. SAN JOSE, CA |
| DAVID H EBY JR, MD 2100 FOREST AVE SAN JOSE, CA |
| TERRY C. LIN D.O.,INC. 2520 SAMARITAN DR. SAN JOSE, CA |
| WHITE OAK MEDICAL OFFICE INC 51 E. CAMPBELL AVE CAMPBELL, CA |
| HELEN VALLAEYS 910 CAMPISI WAY CAMPBELL, CA |
| JON M FAXON, LCSW 3840 HOMESTEAD ROAD SANTA CLARA, CA |
| MELISSA B GOULD, LPCC 16579 LOS GATOS ALMADEN ROAD LOS GATOS, CA |
LUCID LANE PROVIDERS, P.C.