Individual
LUCILLE MARY PICKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 E MOCKINGBIRD LN, SUITE 101, VICTORIA, TX 77904-2155
(361) 573-6291
(361) 576-2434
Mailing address
1501 E MOCKINGBIRD LN, SUITE 101, VICTORIA, TX 77904-2155
(361) 573-6291
(361) 576-2434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
292963
NY
207L00000X
Anesthesiology Physician
Primary
P1482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326366707
—
TX
01
—
51262
ABA PRIMARY CERTIFICATION
—
Enumeration date
06/23/2008
Last updated
03/15/2023
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