AMANDA MARIE LOUCKS

CHARLOTTESVILLE, VA
NPI1457640476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies207Q00000X Family Medicine
(Licence: VA  0101256130)
Enumeration Date2011-03-30
Last Update Date2014-06-27
Business Address
-- AMANDA MARIE LOUCKS MD
1215 LEE ST BOX 800729
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-0211
Mailing Address
-- AMANDA MARIE LOUCKS MD
1215 LEE ST BOX 800729
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-0211