Provider Demographics
NPI:1558727636
Name:LUCIA, ROBERT JOHN (DNP, APRN-FPA, FNP)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:LUCIA
Suffix:
Gender:
Credentials:DNP, APRN-FPA, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 VAN DE VER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61554
Mailing Address - Country:US
Mailing Address - Phone:309-680-7600
Mailing Address - Fax:309-495-8698
Practice Address - Street 1:3248 VAN DE VER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PEKIN
Practice Address - State:IL
Practice Address - Zip Code:61554
Practice Address - Country:US
Practice Address - Phone:309-680-7600
Practice Address - Fax:309-495-8698
Is Sole Proprietor?:No
Enumeration Date:2016-01-06
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277.001430363LF0000X, 363LF0000X
IL041430849163WP0200X
IL209.020036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics