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Individual

LUCY MARIA DE LA CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8081 INNOVATION PARK DR, FAIRFAX, VA 22031-4867
(571) 472-4724
(571) 472-0241
Mailing address
3400 SPRUCE ST, 4 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-2033

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101265995
VA
2086X0206X
Surgical Oncology Physician
MD454888
PA

Other

Enumeration date
04/01/2010
Last updated
11/27/2023
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