Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCYANA TANUWIDJAJA
Active Sole ProprietorLUCYANA TANUWIDJAJA is a Assisted Living Facility healthcare provider located in CENTENNIAL, Colorado. NPI 1558035972 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · CENTENNIAL, CO
Registration Details
- NPI Number
- 1558035972
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2021 (4.8248027710828 yrs)
- Last Updated
- Aug 9, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
6948 S SYRACUSE CTCENTENNIAL, CO, 801121230Browse CO providers · Browse ZIP 80112
- Phone
- 7204046249
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in CENTENNIAL, CO
| Name | Credential | NPI |
|---|---|---|
| RAEINALYN S SALCEDO | — | 1467062976 |
| KRYSTLE HART | RN | 1326876947 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.