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Lucille Katavich, PA-C
Medical Physician Assistant in Fair Oaks, California
NPI 1568481869

Lucille Katavich is a Medical Physician Assistant based in Placerville, CA and is specialized in Medical. Lucille Katavich practices in Fair Oaks, CA and has the professional credentials of PA-C. The NPI Number for Lucille Katavich is 1568481869 and holds a License No. PA10091 (California).

The current practice location address for Lucille Katavich is 6600 Mercy Ct Ste 110, Fair Oaks, CA and can be reached out via phone at 916-966-5404.

Location: 6600 Mercy Ct Ste 110, Fair Oaks, CA, 95667-8615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568481869
Provider Name
Lucille Katavich
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6600 Mercy Ct Ste 110, Fair Oaks, CA, 95667-8615
Phone Number
916-966-5404
Fax Number
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6600 Mercy Ct Ste 110
City
Fair Oaks
State
California
Zip
95628-3150
Phone Number
916-966-5404
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Mercy Ct Ste 110
City
Fair Oaks
State
California
Zip
95628-3150
Phone Number
916-966-5404
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA10091 (California)
Definition
Definition to come...
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