Individual provider · Type 1 NPI

Lucie Regina Ford, MD

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

NPI number 1497259659 Active

Practice location

600 Gresham Drive, Raleigh Building Suite 304
Norfolk, VA 23507

Call (757) 388-3397 Map

Fax (757) 388-2885

Mailing address

388 Boush St Unit 115
Norfolk, VA 23510-1359

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1497259659

Lucie Regina Ford, MD's National Provider Identifier is 1497259659, issued on Mar 22, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Mar 22, 2018.