| Lindsey B Faucette Do Pc | |
|
1495 Palm St San Luis Obispo CA 93401-2937 | |
| (805) 242-3103 | |
| Not Available |
| Full Name | Lindsey B Faucette Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1495 Palm St, San Luis Obispo, California |
| Authorized Official Name and Position | Lindsey Faucette (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8052423103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey B Faucette Do Pc 1495 Palm St San Luis Obispo CA 93401-2937 Ph: () - | Lindsey B Faucette Do Pc 1495 Palm St San Luis Obispo CA 93401-2937 Ph: (805) 242-3103 |
| NPI Number | 1518576958 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/30/2020 |
| Medicare PECOS PAC ID | 1759704471 |
|---|---|
| Medicare Enrollment ID | O20201015001848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518576958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lindsey B Faucette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730313016 PECOS PAC ID: 5799932091 Enrollment ID: I20140829001678 |
| Provider Name | Jennifer Lynn Roberts-kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861805848 PECOS PAC ID: 9133493406 Enrollment ID: I20170926000711 |
| Provider Name | Julian X Bandura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265922538 PECOS PAC ID: 3476967381 Enrollment ID: I20210203002355 |
| Provider Name | Elizabeth A Cartozian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851047443 PECOS PAC ID: 6002202421 Enrollment ID: I20220411001939 |
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