Provider Demographics
NPI:1093043689
Name:LUCARELLI, JONI LOUISE (CD(DONA))
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:LOUISE
Last Name:LUCARELLI
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 E FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2344
Mailing Address - Country:US
Mailing Address - Phone:626-390-0085
Mailing Address - Fax:
Practice Address - Street 1:48 E FOREST AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2344
Practice Address - Country:US
Practice Address - Phone:626-390-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6092374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula