Individual
DR. PETER O. LUCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
302 E HOWARD ST, HIBBING, MN 55746-1772
(218) 263-8233
(218) 263-4561
Mailing address
302 E HOWARD ST, HIBBING, MN 55746-1772
(218) 263-8233
(218) 263-4561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1594
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0484250001
DMERC
MN
01
—
69467LU
BLUECROSS
MN
Enumeration date
11/11/2006
Last updated
07/08/2007
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