Individual
MR. DONALD SEAN LUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
(505) 268-9967
Mailing address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
(505) 268-9967
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
00988780
TX
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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