Individual
JAMES D LUCIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
21 W 25TH ST, BALTIMORE, MD 21218
(410) 366-1717
(410) 889-4176
Mailing address
201 N CHARLES ST STE 200, BALTIMORE, MD 21201-4166
(410) 576-9191
(410) 576-9257
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R107868
MD
363LP2300X
Primary Care Nurse Practitioner
R107868
MD
Other
Enumeration date
06/03/2006
Last updated
06/28/2018
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