Individual
BYRON LUCIA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
613366
—
AZ
Enumeration date
11/16/2005
Last updated
07/08/2007
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