Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Marie Lee Luckanavanich, AG-ACNP

Individual provider Gerontology Clinical Nurse Specialist · NPI 1710749445

Stephanie Marie Lee Luckanavanich, AG-ACNP is a Gerontology Clinical Nurse Specialist in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

5901 E 7th St
Long Beach, CA 90822-5201
Phone: (562) 826-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95018256 (CA)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 95018256 (CA)

Record details

NPI number1710749445
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorYes
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 28, 2024

Other providers in Long Beach