LUCILLE SUGABO
NPI 1821635269
Licensed Vocational Nurse in Fresno, CA

Q: What is Lucille Sugabo's NPI number?

The NPI number for Lucille Sugabo is 1821635269. It was assigned to this individual provider in the NPPES registry on December 4, 2019.

Q: What is Lucille Sugabo's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucille Sugabo was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 04, 2019

4411 E KINGS CANYON RD # 319, FRESNO, CA 93702(559) 600-2382 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2020, Dec 4, 2019 (2 updates tracked since 2019).

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About Lucille Sugabo NPPES

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

LUCILLE SUGABO (NPI 1821635269) is an individual licensed vocational nurse in Fresno, California, licensed in California (708512) and active in the NPI registry since December 2019. She maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1821635269

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameLUCILLE SUGABO

Location Address4411 E KINGS CANYON RD # 319Fresno, CA 93702-3604

Mailing Address4411 E Kings Canyon Rd # 319Fresno, CA 93702-3604 · (559) 600-2382

Phone(559) 600-2382

Sole ProprietorYes

Enumeration DateDecember 4, 2019

Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration

NPPES CertifiedMarch 28, 2022

✔ NPI 1821635269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 708512

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4411 E KINGS CANYON RD # 319, Fresno, CA 93702

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Secondary Practice Location 1

Location 14441 E Kings Canyon RdFresno, CA 93702-3604 · Phone (559) 600-4099

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.

RENA SHERMAINE COOPER

Registered Nurse