Lucie Wanberg, is a
Speech-language Pathologist based in Fairfield, California. Lucie Wanberg is licensed to practice in California (license number SP16109) and her current practice location is
801 Empire St, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 425-5744.
NPI number for Lucie Wanberg is 1235680059 and her current mailing address is 801 Empire St, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235680059.
Healthcare Provider's Profile
| Full Name | Lucie Wanberg |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 801 Empire St, Fairfield, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235680059
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 02/01/2022
Medical Identifiers
Medical identifiers for Lucie Wanberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235680059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP16109 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lucie Wanberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lucie Wanberg,
801 Empire St,
Fairfield, CA 94533-5702
Ph: () - | Lucie Wanberg,
801 Empire St,
Fairfield, CA 94533
Ph: (707) 425-5744 |
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