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1700120011
LYDIA LUCCA
NEW YORK, NY
NPI
1700120011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 002043)
Enumeration Date
2012-11-27
Last Update Date
2012-11-27
Business Address
Ms. LYDIA LUCCA PA
160 WATER ST 3RD FLOOR
NEW YORK, NY 10038-4922
Phone number: 347-821-0619
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Mailing Address
Ms. LYDIA LUCCA PA
1650 PAULDING AVE
BRONX, NY 10462-3107
Phone number: 347-819-4945
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