Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 041927 | NY |
NPI | 1912546003 |
---|---|
Provider Name | Lucy Mcleod |
First Address | New York, NY 10021-4898 |
Second Address | New York, NY 10021-4898 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2020 |
Last Update Date | 10/04/2021 |