Provider Demographics
NPI:1811510845
Name:LUCID SLEEP HEALTH AND WELLNESS
Entity type:Organization
Organization Name:LUCID SLEEP HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFINI
Authorized Official - Middle Name:
Authorized Official - Last Name:STRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-899-6730
Mailing Address - Street 1:8435 WURZBACH RD STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3374
Mailing Address - Country:US
Mailing Address - Phone:210-899-6730
Mailing Address - Fax:833-776-0625
Practice Address - Street 1:2105 SIDNEY BAKER ST STE 200
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-2563
Practice Address - Country:US
Practice Address - Phone:210-899-6730
Practice Address - Fax:833-776-0625
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUCID DENTAL, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-26
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies