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Individual

KATHLEEN MARY LUCCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
29 YALE RD, PEMBROKE, MA 02359-3817
(781) 293-2848
Mailing address
PO BOX 2230, HANOVER, MA 02339-8230
(781) 293-2848

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
266114
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0705454
MA
Enumeration date
02/23/2007
Last updated
07/08/2007
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