Provider Demographics
NPI:1750057204
Name:SERRANO, LUCY CELINA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:CELINA
Last Name:SERRANO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11923 RUSTIC HILL DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-1908
Mailing Address - Country:US
Mailing Address - Phone:323-547-1243
Mailing Address - Fax:
Practice Address - Street 1:13820 SAN ANTONIO DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4033
Practice Address - Country:US
Practice Address - Phone:562-317-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily