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Individual
MRS. LUCI W DALEY
Active
Individual
MRS. LUCI W DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15781
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157813
—
SC
01
—
4376370
AETNA
SC
01
—
86298
MEDCOST
SC
Enumeration date
01/24/2006
Last updated
12/16/2020
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