Individual
LISA MARIE LUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
703 FOURTH ST, ALAMOSA, CO 81102-2612
(970) 399-3339
Mailing address
PO BOX 128, VILLA GROVE, CO 81155-0128
(970) 623-6496
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/18/2021
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