Provider Demographics
NPI:1174603955
Name:OSAKI, LUCILLE YUKIYE (CRNA)
Entity type:Individual
Prefix:MS
First Name:LUCILLE
Middle Name:YUKIYE
Last Name:OSAKI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:96022-0669
Mailing Address - Country:US
Mailing Address - Phone:530-527-6693
Mailing Address - Fax:530-527-6695
Practice Address - Street 1:2550 SISTER MARY COLUMBA DR
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-4327
Practice Address - Country:US
Practice Address - Phone:530-527-6693
Practice Address - Fax:530-527-6695
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA296645163W00000X, 367500000X
CA2252163W00000X
NMR47420163W00000X
TXR47420163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse