Individual
LUCY DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 CARPENTER RD, FORT MYER, VA 22211-1009
(703) 696-2977
(703) 696-0103
Mailing address
401 CARPENTER RD, FORT MYER, VA 22211-1009
(703) 696-2977
(703) 696-0103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001184034
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
VA
Enumeration date
10/14/2013
Last updated
10/14/2013
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