Provider Demographics
NPI:1043402571
Name:NELSON, LUCY ESPINOZA
Entity Type:Individual
Prefix:MS
First Name:LUCY
Middle Name:ESPINOZA
Last Name:NELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 TAYLOR BLVD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2286
Mailing Address - Country:US
Mailing Address - Phone:925-608-6517
Mailing Address - Fax:925-608-6518
Practice Address - Street 1:395 TAYLOR BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2290
Practice Address - Country:US
Practice Address - Phone:925-608-6517
Practice Address - Fax:925-608-6518
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No172V00000XOther Service ProvidersCommunity Health Worker