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NPI Code Detail

MEDICARE: MRS. LUCIA MARIE WEST FNP

MEDICARE:  MRS. LUCIA MARIE WEST  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner9237807FL

General Provider Information

NPI Number : 1154315380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LUCIA MARIE WEST FNP
Provider Business Mailing Address
First Line : 5266 ANCHORAGE DR
Second Line :
City : ST JAMES CITY
State : FL
Zip : 33956-3051
Country : US
Telephone Number : 239-282-0850
Fax Number : 239-282-0850
Provider Business Practice Location Address
First Line : 4751 S CLEVELAND AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1317
Country : US
Telephone Number : 239-343-9888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. LUCIA MARIE WEST FNP” Practice Location

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