Individual
LUCIA BLAINE MCKELVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2906 INGALLS WAY, EUGENE, OR 97405-2379
(541) 683-3286
(541) 683-3286
Mailing address
2906 INGALLS WAY, EUGENE, OR 97405-2379
(541) 683-3286
(541) 683-3286
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8250
OR
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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