person
Stephanie Marie Lee Luckanavanich, AG-ACNP
Acute Care Nurse Practitioner in Long Beach, California
NPI 1710749445

Stephanie Marie Lee Luckanavanich is an Acute Care Nurse Practitioner based in Irvine, CA and is specialized in Acute Care. Stephanie Marie Lee Luckanavanich practices in Long Beach, CA and has the professional credentials of AG-ACNP. The NPI Number for Stephanie Marie Lee Luckanavanich is 1710749445 and holds a License No. 95018256 (California).

The current practice location address for Stephanie Marie Lee Luckanavanich is 5901 E 7Th St, Long Beach, CA and can be reached out via phone at 562-826-8000. You can also correspond with Stephanie Marie Lee Luckanavanich through the mailing address at 718 RED SAGE, IRVINE, CA - 92618-1526 (mailing address contact number: 818-307-9929).

Location: 5901 E 7Th St, Long Beach, CA, 92618-1526
person
Provider Profile Details
NPI Number
1710749445
Provider Name
Stephanie Marie Lee Luckanavanich
Credential
AG-ACNP
Provider Entity Type
Individual
Gender
Female
Address
5901 E 7Th St, Long Beach, CA, 92618-1526
Phone Number
562-826-8000
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5901 E 7Th St
City
State
Zip
90822-5201
Phone Number
562-826-8000
Fax Number
person
Provider Business Mailing Address Details
Address
718 Red Sage
City
State
Zip
92618-1526
Phone Number
818-307-9929
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
95018256 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Gerontology
Taxonomy
License No.
95018256 (California)
Definition
Definition to come...
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