Provider Demographics
NPI:1659765832
Name:OCANOVICIU, LUCIA V (NP-C)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:V
Last Name:OCANOVICIU
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:320 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-2432
Mailing Address - Country:US
Mailing Address - Phone:770-479-5535
Mailing Address - Fax:770-479-8821
Practice Address - Street 1:460 NORTHSIDE CHEROKEE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-8019
Practice Address - Country:US
Practice Address - Phone:770-721-9630
Practice Address - Fax:770-721-9631
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN234135363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care