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Individual

DR. ELIZABETH A LUCICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 676-4430
Mailing address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01089098A
IN
208200000X
Plastic Surgery Physician
4301112665
MI

Other

Enumeration date
06/28/2017
Last updated
09/17/2023
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