Individual
DR. MARY L. DE LUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4001 INDIAN SCHOOL RD NE, SUITE 305, ALBUQUERQUE, NM 87110-3816
(505) 830-1100
(505) 291-8441
Mailing address
4001 INDIAN SCHOOL RD NE, SUITE 305, ALBUQUERQUE, NM 87110-3816
(505) 830-1100
(505) 291-8441
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
97-217
NM
2084P0804X
Child & Adolescent Psychiatry Physician
97-217
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S7135
—
NM
Enumeration date
07/25/2006
Last updated
03/07/2023
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