Individual provider · Type 1 NPI

Amanda Marie Loucks, MD

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1457640476 Active

Practice location

1215 Lee St, Box 800729
Charlottesville, VA 22908-0816

Call (434) 924-0211 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Family Medicine Physician 207Q00000X0101256130 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457640476

Amanda Marie Loucks, MD's National Provider Identifier is 1457640476, issued on Mar 30, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on Jun 27, 2014.