Individual
DR. LUCIENNE MARIE IDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
300 HALKET ST, PITTSBURGH, PA 15213-3108
(404) 317-4400
Mailing address
300 HALKET ST, PITTSBURGH, PA 15213-3108
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1417191719
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2009
Last updated
05/06/2009
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