Individual
LUCY ELENA DEFANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2160
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0102204122
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497072664
—
VA
Enumeration date
04/28/2010
Last updated
03/17/2018
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