# LUCY SUN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235215286
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 242545 | NY | — |
| 2086S0129X | Vascular Surgery Physician | 242545 | NY | — |
| 2086S0129X | Vascular Surgery Physician | P6285 | TX | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 01/11/2021

## 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 |