Individual
MS. MIA MELONY LUCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
919 STATE AVE, STE 102, MARYSVILLE, WA 98270-4284
(360) 653-6010
(360) 653-6008
Mailing address
919 STATE AVE, STE 102, MARYSVILLE, WA 98270-4284
(360) 653-6010
(360) 653-6008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024533
WA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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