Individual
LUCIE A DIMAGGIO
Active
Individual
LUCIE A DIMAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8289
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806143900
—
ID
01
—
P00029389
RR MEDICARE
ID
Enumeration date
06/06/2006
Last updated
12/10/2014
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