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NPI Code Detail

MEDICARE: FLORISE LUC

MEDICARE: FLORISE LUC
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1528756533
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORISE LUC
Provider Business Mailing Address
First Line : 8 WINTER ST
Second Line :
City : HYDE PARK
State : MA
Zip : 02136-2636
Country : US
Telephone Number : 617-777-5155
Fax Number :
Provider Business Practice Location Address
First Line : 8 WINTER ST
Second Line :
City : HYDE PARK
State : MA
Zip : 02136-2636
Country : US
Telephone Number : 617-777-5155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2023
Last Update Date : 04/27/2023

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Directions to “ FLORISE LUC ” Practice Location

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