Doctor Name: | MS. DEVAN COLE LUCIER |
NPI Number: | 1811376072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 101.0109859 |
Business Practice Address: | 185 Grafton Rd Townshend, VT - 05353 |
Business Phone Number: | 8023654331 |
Business Fax Number: | |
Mailing Address: | Po Box 108, TOWNSHEND |
State: | VT |
Postal Code: | 053530108 |
Phone Number: | 8022999409 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2015 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 101.0109859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |