| NPI | 1316916265 |
|---|---|
| Former Name | COURTNEY S LUCADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME97574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 01012333389) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-06-11 |