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NPI Code Detail

MEDICARE: DR. MARY LUCIA MD

MEDICARE: DR. MARY LUCIA MD
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
1207V00000XObstetrics & Gynecology Physician246023MA
2207V00000XObstetrics & Gynecology Physician043482CT

General Provider Information

NPI Number : 1285645556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY LUCIA MD
Provider Business Mailing Address
First Line : 120 CONNECTICUT AVE
Second Line :
City : NORWALK
State : CT
Zip : 06854-1525
Country : US
Telephone Number : 203-899-1770
Fax Number : 203-899-1769
Provider Business Practice Location Address
First Line : 120 CONNECTICUT AVE
Second Line :
City : NORWALK
State : CT
Zip : 06854-1525
Country : US
Telephone Number : 203-899-1770
Fax Number : 203-899-1769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 10/21/2021

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Directions to “ DR. MARY LUCIA MD” Practice Location

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