LUCID LANE PROVIDERS, P.C.; NPI #1912507021

Contact Information

LUCID LANE PROVIDERS, P.C.

3251 PLACE DU JARDIN
OPTIONAL
SAN JOSE, CA 95148-9514

Phone: 630-589-2730
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for LUCID LANE PROVIDERS, P.C.

NPI #	`1912507021`
LBN Legal business name	LUCID LANE PROVIDERS, P.C.
Authorized official	MUBEENA SIDDIQUI - (DIRECTOR OF RCM AND COMPLIANCE)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/28/2020
Last updated	01/29/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LUCID LANE PROVIDERS, P.C.

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NPI Profile & details for LUCID LANE PROVIDERS, P.C.

Reviews for LUCID LANE PROVIDERS, P.C.