| Lucia Yolanda Acosta, | |
|
1305 E Vine St, Lodi, CA 95240-3179 | |
| (209) 623-8447 | |
| Not Available |
| Full Name | Lucia Yolanda Acosta |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1305 E Vine St, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962178004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 15643 (California) | Primary |
| Entity Name | Grow Healthcare Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucia Yolanda Acosta, 3250 Joshua Tree Cir, Stockton, CA 95209-3801 Ph: (209) 623-8447 | Lucia Yolanda Acosta, 1305 E Vine St, Lodi, CA 95240-3179 Ph: (209) 623-8447 |
Esperanza Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln Ste A&b, Lodi, CA 95242 Phone: 209-224-8940 |
Mr. Harry R Meeks Jr., AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 W Pine St Ste 3, Lodi, CA 95240 Phone: 209-366-2273 |
David Canton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln, Lodi, CA 95242 Phone: 209-224-8940 |
Carol Jacinto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln Ste A&b, Lodi, CA 95242 Phone: 209-224-8940 |
Jane Knox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5800 Fax: 209-340-5804 |
Evelyn Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5800 |
Ms. Jennifer Preap, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln Ste B, Lodi, CA 95242 Phone: 209-224-8940 |