Individual
DR. PATRICIO DANIEL LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
653 W 70TH ST, SHREVEPORT, LA 71106-2949
(318) 636-8389
Mailing address
PO BOX 740012, ATLANTA, GA 30374-0012
(318) 319-2151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
327773
LA
Other
Enumeration date
07/26/2018
Last updated
11/06/2025
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