Healthcare Provider Details

I. General information

NPI: 1407700545
Provider Name (Legal Business Name): LUCEY MCKENNA MAGUIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 W BALTIMORE PIKE STE 4
MEDIA PA
19063-5540
US

IV. Provider business mailing address

1215 W BALTIMORE PIKE STE 4
MEDIA PA
19063-5540
US

V. Phone/Fax

Practice location:
  • Phone: 215-629-1353
  • Fax:
Mailing address:
  • Phone: 215-629-1353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: