Individual
LUCIE REGINA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 GRESHAM DRIVE, RALEIGH BUILDING SUITE 304, NORFOLK, VA 23507
(757) 388-3397
(757) 388-2885
Mailing address
388 BOUSH ST UNIT 115, NORFOLK, VA 23510-1359
(757) 288-6124
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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