Individual
DEBORAH MCLUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5100
Mailing address
147 MILK ST FL 9, PROVIDER ENROLLMENT, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1437
MA
Other
Enumeration date
02/03/2007
Last updated
07/31/2008
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