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Individual
LUCY SUN
Active
Individual
LUCY SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
242545
NY
2086S0129X
Vascular Surgery Physician
242545
NY
2086S0129X
Vascular Surgery Physician
Primary
P6285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02839614
—
NY
01
—
0667910001
DME
NY
01
—
292521
MEDICARE GROUP PTAN
TX
01
—
DT4457
MEDICARE RAILROAD GROUP PTAN
TX
01
—
P00370435
MEDICARE RAILROAD
NY
01
—
P01223162
MEDICARE RAILROAD INDIVIDUAL PTAN
TX
01
—
TXB155426
MEDICARE GROUP PTAN
TX
01
—
TXB156437
MEDICARE GROUP PTAN
TX
Enumeration date
10/31/2006
Last updated
01/11/2021
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