Provider Demographics
NPI:1992287239
Name:UBANI, LUCY OLUCHI (RN)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:OLUCHI
Last Name:UBANI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 TEMPLE TRL
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3615
Mailing Address - Country:US
Mailing Address - Phone:214-763-5662
Mailing Address - Fax:
Practice Address - Street 1:408 TEMPLE TRL
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-3615
Practice Address - Country:US
Practice Address - Phone:214-763-5662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX939580163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse