* Indicates primary specialty
| NPI Number | 1912507021 |
| Legal business name LBN |
LUCID LANE PROVIDERS, P.C. |
| Authorized official | MUBEENA SIDDIQUI - (DIRECTOR OF RCM AND COMPLIANCE) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 10/28/2020 |
| Last updated | 01/29/2021 - About 5 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for LUCID LANE PROVIDERS, P.C.