MEDICARE: MS. MARGARET ANN LLUY PH.D.

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
1	103T00000X	Psychologist	03145	MD

General Provider Information

NPI Number	:	1366589160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET ANN LLUY PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 252
Second Line	:
City	:	OCCOQUAN
State	:	VA
Zip	:	22125-0252
Country	:	US
Telephone Number	:	703-784-4960
Fax Number	:	702-784-3558

Provider Business Practice Location Address
First Line	:	USMC FORCES COMMAND HEALTH SERVICES SUPPORT
Second Line	:	1468 INGRAM STREET
City	:	NORFOLK
State	:	VA
Zip	:	23551-2596
Country	:	US
Telephone Number	:	757-836-1685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2007

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