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Lucian Jerome Mckinney III
Student in an Organized Health Care Education/Training Program in Roseville, California
NPI 1609631274

Lucian Jerome Mckinney III is a Student in an Organized Health Care Education/Training Program based in Citrus Heights, CA. Lucian Jerome Mckinney III practices in Roseville, CA. The NPI Number for Lucian Jerome Mckinney III is 1609631274 and holds a License No. (California).

The current practice location address for Lucian Jerome Mckinney III is 1540 Eureka Rd Ste 100, Roseville, CA and can be reached out via phone at 916-207-9255.

Location: 1540 Eureka Rd Ste 100, Roseville, CA, 95610-5958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609631274
Provider Name
Lucian Jerome Mckinney III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1540 Eureka Rd Ste 100, Roseville, CA, 95610-5958
Phone Number
916-207-9255
Fax Number
Provider Enumeration Date
02/13/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1540 Eureka Rd Ste 100
City
Roseville
State
California
Zip
95661-3056
Phone Number
916-207-9255
Fax Number
person
Provider Business Mailing Address Details
Address
1540 Eureka Rd Ste 100
City
Roseville
State
California
Zip
95661-3056
Phone Number
916-207-9255
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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