Individual
LUCILA VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
808 COMMERCE BLVD, STE A, RIVERDALE, GA 30296
(770) 996-9191
(770) 996-5298
Mailing address
808 COMMERCE BLVD, STE A, RIVERDALE, GA 30296
(770) 996-9191
(770) 996-5298
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
025682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00390475A
—
GA
Enumeration date
12/08/2006
Last updated
07/08/2007
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