Provider Demographics
NPI:1053962597
Name:LIMQUECO, LAUDIMIR A (AGPCNP)
Entity type:Individual
Prefix:MR
First Name:LAUDIMIR
Middle Name:A
Last Name:LIMQUECO
Suffix:
Gender:M
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32418 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-4828
Mailing Address - Country:US
Mailing Address - Phone:510-364-7467
Mailing Address - Fax:
Practice Address - Street 1:32418 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-4828
Practice Address - Country:US
Practice Address - Phone:510-364-7467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95012857363LP2300X, 363L00000X
CA633654163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse