Individual
MRS. CARRIE ROSE LUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
807 ALBERT ST N, SAINT PAUL, MN 55104-1302
(651) 373-4587
Mailing address
807 ALBERT ST N, SAINT PAUL, MN 55104-1302
(651) 373-4587
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP 3922
MN
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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