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Individual
C. LUCY PARK
Active
Individual
C. LUCY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036069211
IL
Other
Enumeration date
08/08/2006
Last updated
01/28/2012
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