Organization
PAIN CARE NORTHWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE R LUCIER MD (OWNER)
(860) 496-7268
Entity
Organization
Contact information
Practice address
142 HAZARD AVE, ENFIELD, CT 06082-4520
(860) 496-7268
(860) 379-4717
Mailing address
PO BOX 971, WINSTED, CT 06098-0971
(860) 496-7268
(860) 379-4717
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
035144
CT
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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