Provider Demographics
NPI:1508582453
Name:RADMANN, LUCINDA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LUCINDA
Middle Name:
Last Name:RADMANN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 ALPINO
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-1943
Mailing Address - Country:US
Mailing Address - Phone:210-875-4433
Mailing Address - Fax:
Practice Address - Street 1:10223 US HIGHWAY 281 N STE 201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4664
Practice Address - Country:US
Practice Address - Phone:210-981-6574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1094916363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily