Organization
SPORTS MEDICINE & JOINT REPLACEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN D. LUCEY M.D. (OWNER)
(336) 333-6443
Entity
Organization
Contact information
Practice address
200 W WENDOVER AVE, GREENSBORO, NC 27401-1307
(336) 333-6443
Mailing address
200 W WENDOVER AVE, GREENSBORO, NC 27401-1307
(336) 451-4633
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
195335
NC
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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