Individual
COURTNEY R LUCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 HIGHLAND AVE, NEWBURYPORT, MA 01950-3872
(978) 473-7770
Mailing address
21 HIGHLAND AVE, NEWBURYPORT, MA 01950-3872
(978) 473-7770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2178
MA
363A00000X
Physician Assistant
Primary
PA2178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9702652
—
MA
Enumeration date
10/26/2006
Last updated
01/28/2014
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