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Individual

MS. LUCI L. NEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-4235
Mailing address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-4235

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125737
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8050690
NC
05
NAN691
SC
Enumeration date
07/15/2006
Last updated
08/29/2008
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