Individual
LUCIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SOUTH AVE STE 103, POUGHKEEPSIE, NY 12601-4814
(845) 485-3066
Mailing address
201 SOUTH AVE STE 103, POUGHKEEPSIE, NY 12601-4814
(845) 485-3066
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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