Provider Demographics
NPI:1023649498
Name:LACUESTA, BARBARA LEE (FNP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LEE
Last Name:LACUESTA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 ANCHORAGE LN UNIT 314
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-3122
Mailing Address - Country:US
Mailing Address - Phone:619-861-7293
Mailing Address - Fax:
Practice Address - Street 1:1730 ALPINE BLVD
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-3876
Practice Address - Country:US
Practice Address - Phone:619-326-4445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95013126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily