Individual
LUCIEN JOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 SAINT PAUL PL, BALTIMORE, MD 21202-2165
(410) 332-9477
Mailing address
100 E REDWOOD ST APT 1814, BALTIMORE, MD 21202-1353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0008242
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0008242
MD LICENSE NUMBER
MD
Enumeration date
11/08/2021
Last updated
04/28/2024
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