Individual
JULIA LUCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-2500
(662) 377-2069
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-2500
(662) 377-2069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
839476
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03168
MEDICARE GROUP
MS
Enumeration date
05/29/2008
Last updated
05/29/2008
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