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STEPHANIE MARIE LEE LUCKANAVANICH AG-ACNP
NPI 1710749445
Nurse Practitioner - Acute Care in Long Beach, CA

Active since January 29, 2024
5901 E 7TH ST, LONG BEACH, CA 90822(562) 826-8000 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Marie Lee Luckanavanich Ag-acnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MARIE LEE LUCKANAVANICH AG-ACNP (NPI 1710749445) is an individual acute care provider in Long Beach, California, licensed in California (95018256) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1710749445
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSTEPHANIE MARIE LEE LUCKANAVANICHCredential: AG-ACNP
Location Address5901 E 7TH STLong Beach, CA 90822-5201
Mailing Address718 Red SageIrvine, CA 92618-1526 · (818) 307-9929
Phone(562) 826-8000
Sole ProprietorYes
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 28, 2024
✔ NPI 1710749445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95018256
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 95018256 (CA)
5901 E 7TH ST, Long Beach, CA 90822
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOHRAB TANAVOLI D.O
Internal Medicine
5901 E 7TH ST
LONG BEACH, CA 90822
Los Angeles County (562) 826-8000
PARGOL KHORSANDI NAZARIAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5901 E 7TH ST
LONG BEACH, CA 90822
Los Angeles County (562) 826-8000
DR. GREYSON NAKANO
Optometrist
5901 E 7TH ST
LONG BEACH, CA 90822
Los Angeles County (562) 826-8000
JOEL ANDRES MONTES
Social Worker
5901 E 7TH ST
LONG BEACH, CA 90822
Los Angeles County (562) 391-8311
LOREMEA BAUTISTA
Registered Nurse (Psychiatric/Mental Health)
5901 E 7TH ST
LONG BEACH, CA 90822
Los Angeles County (562) 826-8000
MR. JAMES LYNN WATSON
Social Worker (Clinical)
5901 E 7TH ST
LONG BEACH, CA 90822
Los Angeles County (562) 826-8000
MICHAELA SANGER
Speech-Language Pathologist
5901 E 7TH ST
LONG BEACH, CA 90822
Los Angeles County (562) 826-8000
LONG BEACH VAMC
General Acute Care Hospital
5901 E 7TH ST
LONG BEACH, CA 90822
Los Angeles County (702) 341-3152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Luckanavanich's NPI number?

The NPI number for Stephanie Luckanavanich is 1710749445. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Stephanie Luckanavanich located?

Stephanie Luckanavanich practices at 5901 E 7th St, Long Beach, CA 90822. The listed phone number is (562) 826-8000.

What is Stephanie Luckanavanich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Stephanie Luckanavanich was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.