Individual provider · Type 1 NPI
Deborah McLucas, PA
Medical Physician Assistant · Medford, MA
NPI number
1366580953
Active
Practice location
26 City Hall Mall
Medford, MA 02155-4754
Mailing address
147 Milk St Fl 9, Provider Enrollment
Boston, MA 02109-4806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1437 (MA) |
Medical Physician Assistant: Definition to come...
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About NPI 1366580953
Deborah McLucas, PA's National Provider Identifier is 1366580953, issued on Feb 3, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Medford, MA. The record was last updated on Jul 31, 2008.