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Individual
VIRGINIA P LUCES
Active
Individual
VIRGINIA P LUCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-062230
IL
208000000X
Pediatrics Physician
336026758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062230
—
IL
01
—
1366494585
BCBSWI
WI
01
—
LUCESVIR
MERCYCARE INSURANCE
WI
Enumeration date
05/16/2006
Last updated
09/16/2013
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