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NPI Code Detail

MEDICARE: EMMA LUCEY

MEDICARE: EMMA LUCEY
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
1390200000XStudent in an Organized Health Care Education/Training Program293340MA
2207R00000XInternal Medicine Physician1023153MA

General Provider Information

NPI Number : 1831838937
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA LUCEY
Provider Business Mailing Address
First Line : 291 INDEPENDENCE DR
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3628
Country : US
Telephone Number : 617-541-6520
Fax Number :
Provider Business Practice Location Address
First Line : 291 INDEPENDENCE DR
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3628
Country : US
Telephone Number : 617-541-6520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2022
Last Update Date : 01/15/2026

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Directions to “ EMMA LUCEY ” Practice Location

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