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Individual

MRS. JUANITA QUINN LUCEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
Mailing address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008516
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831513407
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/18/2014
Last updated
04/16/2019
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