Individual
LUCY CIVITELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-2610
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-2610
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD17661
DC
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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