Individual
SHAWN ELIZABETH LUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, ATC
Contact information
Practice address
751 UKROP WAY, WILLIAMSBURG, VA 23187
(757) 221-3406
(757) 221-2048
Mailing address
52 SUMMER E, WILLIAMSBURG, VA 23188-1651
(724) 622-9787
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001376
VA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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