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Gregory Anthony Lucio Jr.

Case Manager/Care Coordinator in Roseville, CA. Individual provider (NPI-1).

NPI number1982180634
StatusActive
Last updated in NPPESFeb 1, 2023

Details

NPI
1982180634
Entity type
Individual (NPI-1)
Name
Gregory Anthony Lucio Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 16, 2018
Certification date
Feb 1, 2023
Last updated
Feb 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1624 Santa Clara Dr Ste 145
Roseville, CA 95661-3500

Phone 916-779-2455

Mailing address

1624 Santa Clara Dr Ste 145
Roseville, CA 95661-3500

Phone 916-779-2455

Other practice locations

9015 Murray Ave
Gilroy, CA 95020-3617

Phone 408-842-7138

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