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Contact Information

STACY M LUCIO
901 N MACOMB ST STE 109
MONROE, MI48162
 Phone: 734-799-0146
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STACY M LUCIO · (Female)

NPI Number 1710488440
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2018
Last updated 05/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704292925
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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