Individual
LUCIA L CLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13184 N 103RD DR, SUN CITY, AZ 85351-3038
(623) 972-2902
(623) 972-2539
Mailing address
2160 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
24233
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000354366
MERCY CARE PLAN
AZ
01
—
156315
UNIVERSAL HEALTHCARE
AZ
01
—
24233
LICENSE
AZ
05
—
354366
—
AZ
01
—
3671278
CIGNA
AZ
01
—
3Z0577
HEALTH NET
AZ
01
—
3Z3840
HEALTH NET
AZ
01
—
5352333
AETNA
AZ
01
—
P01730129
RR MEDICARE
AZ
Enumeration date
07/07/2005
Last updated
01/16/2017
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