Individual
MRS. LUCIA M MOUTOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7500 GREENWAY CENTER DR, GREENBELT, MD 20770-3502
(301) 220-2333
(301) 220-2339
Mailing address
4913 MARINERS DR, SHADY SIDE, MD 20764-9752
(443) 848-8278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R212190
MD
Other
Enumeration date
07/17/2023
Last updated
08/23/2024
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