Provider Demographics
NPI:1396562088
Name:NJOROGE, LUCY
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:NJOROGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 COMMON ST APT 403
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1597
Mailing Address - Country:US
Mailing Address - Phone:978-971-8414
Mailing Address - Fax:
Practice Address - Street 1:226 COMMON ST APT 403
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1597
Practice Address - Country:US
Practice Address - Phone:978-971-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN100849164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse