Provider Demographics
NPI:1528481223
Name:SCHOENICK, LUCINDA LORRAINE (NP)
Entity type:Individual
Prefix:
First Name:LUCINDA
Middle Name:LORRAINE
Last Name:SCHOENICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LUCINDA
Other - Middle Name:LORRAINE
Other - Last Name:GLINKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:932 INVERNESS AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740
Mailing Address - Country:US
Mailing Address - Phone:626-533-4820
Mailing Address - Fax:
Practice Address - Street 1:20540 E ARROW HWY STE A
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-1200
Practice Address - Country:US
Practice Address - Phone:626-513-7497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000054363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health