Individual
DR. LUCYNDIA ROSE MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 CLASSIC LN, NEW CASTLE, PA 16105-5304
(724) 654-1461
Mailing address
130 CLASSIC LN, NEW CASTLE, PA 16105-5304
(724) 654-1461
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD070499L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD070499L
ACTIVE RETIRED LICENSE
PA
Enumeration date
08/18/2019
Last updated
08/18/2019
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