Individual
ANTHONY JOHN LUCIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(863) 669-7390
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(863) 669-7390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102207579
VA
208D00000X
General Practice Physician
0102207579
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083289532
NPI
—
Enumeration date
05/26/2021
Last updated
11/04/2025
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