Individual
JENNIFER KAY LUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2550 MOSSIDE BLVD STE 405, MONROEVILLE, PA 15146
(412) 373-1600
(412) 373-4197
Mailing address
2550 MOSSIDE BLVD STE 405, MONROEVILLE, PA 15146-3533
(412) 373-1600
(412) 373-4197
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT004565
PA
363AM0700X
Medical Physician Assistant
Primary
MA059696
PA
Other
Enumeration date
02/05/2018
Last updated
10/08/2020
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