Individual
MICHAEL GODFREY LUCINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 HIGHVIEW AVE, WOODCLIFF LAKE, NJ 07677-8016
(201) 417-7632
Mailing address
54 HIGHVIEW AVE, WOODCLIFF LAKE, NJ 07677-8016
(201) 417-7632
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
391303-01
NY
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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