Individual
LUCY DIANE MASTRANDREA
Active
Individual
LUCY DIANE MASTRANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PH
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
223316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026963501
UNIVERA
—
05
—
02601614
—
NY
01
—
041208000095
FIDELIS
—
05
—
1019649620001
—
PA
01
—
4512725
IHA
—
Enumeration date
10/21/2006
Last updated
01/18/2021
Update your record
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