Individual
LISA LAUREN NUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3133 N LAKEWOOD AVE APT 3A, CHICAGO, IL 60657-9461
(630) 818-0755
Mailing address
3133 N LAKEWOOD AVE APT 3A, CHICAGO, IL 60657-9461
(630) 818-0755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209024535
IL
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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