Provider Demographics
NPI:1952685216
Name:LOIGNON, LUCILLE MARJORIE (MD)
Entity Type:Individual
Prefix:DR
First Name:LUCILLE
Middle Name:MARJORIE
Last Name:LOIGNON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 OLD COACH DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-1627
Mailing Address - Country:US
Mailing Address - Phone:805-987-9659
Mailing Address - Fax:
Practice Address - Street 1:3207 OLD COACH DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1627
Practice Address - Country:US
Practice Address - Phone:805-987-9659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGFE15470207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGFE15470OtherCALIFORNIA STATE LICENSE NUMBER