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NPI Code Detail

MEDICARE: JOSMARY LUCENA RN

MEDICARE: JOSMARY LUCENA RN
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
1163W00000XRegistered Nurse886548-01NY

General Provider Information

NPI Number : 1538946116
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSMARY LUCENA RN
Provider Business Mailing Address
First Line : 5960A S JOG RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-6509
Country : US
Telephone Number : 844-665-4827
Fax Number :
Provider Business Practice Location Address
First Line : 5960A S JOG RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-6509
Country : US
Telephone Number : 844-665-4827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2023
Last Update Date : 09/08/2023

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