Individual
MS. EDNA LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
337 SHERI LN, LAKE JACKSON, TX 77566-3269
(281) 229-0263
(800) 419-5153
Mailing address
337 SHERI LN, LAKE JACKSON, TX 77566-3269
(281) 229-0263
(800) 419-5153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3264970
—
TX
Enumeration date
12/16/2005
Last updated
06/23/2022
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