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NPI Code Detail

MEDICARE: MRS. ELIZABETH LUCEY

MEDICARE: MRS. ELIZABETH 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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11437451382OTHERMAADVOCATES COMMUNITY COUNSELING

General Provider Information

NPI Number : 1982170239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH LUCEY
Provider Business Mailing Address
First Line : 106 THURSTON ST APT 7
Second Line :
City : SOMERVILLE
State : MA
Zip : 02145-2838
Country : US
Telephone Number : 781-439-1560
Fax Number :
Provider Business Practice Location Address
First Line : 257 AYER RD
Second Line :
City : HARVARD
State : MA
Zip : 01451-1108
Country : US
Telephone Number : 978-774-1846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2018
Last Update Date : 10/15/2018

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Directions to “ MRS. ELIZABETH LUCEY ” Practice Location

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