Individual
SCOTT LUCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5770
Mailing address
N3613 BIRCHWOOD DR, POYNETTE, WI 53955-9691
(608) 212-0979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22753
WI
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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