Individual
DR. ALISON DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 W. 21ST, CLOVIS, NM 88101
(575) 769-2345
(575) 769-9013
Mailing address
1100 W. 21ST, CLOVIS, NM 88101
(575) 769-2345
(575) 769-9013
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA08248000
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD2012-0890
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215287
—
NJ
Enumeration date
08/14/2008
Last updated
04/07/2015
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