Provider Demographics
NPI:1306623681
Name:LUCID THERAPEUTICS
Entity type:Organization
Organization Name:LUCID THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:REMIGUISZ
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:DROZD
Authorized Official - Suffix:
Authorized Official - Credentials:DO, FAWM
Authorized Official - Phone:805-365-4095
Mailing Address - Street 1:331 N MILPAS ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3294
Mailing Address - Country:US
Mailing Address - Phone:805-365-4095
Mailing Address - Fax:
Practice Address - Street 1:331 N MILPAS ST STE 1B
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3294
Practice Address - Country:US
Practice Address - Phone:805-365-4095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty