Individual
LILY A. LUCCA-BEDERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Mailing address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/19/2023
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