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Individual
MELINDA K. LUCE
Active
Individual
MELINDA K. LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
198
MT
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-198
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096353
BCBS PIN
MT
01
—
121217600
MDCD PIN
WY
01
—
4305678
MDCD PIN
MT
Enumeration date
07/20/2006
Last updated
04/10/2024
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