Individual
MRS. LUCINDA ANN MAGNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704149953
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4911039
—
MI
01
—
5008706720
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/02/2006
Last updated
03/18/2008
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