Jose Encarnacion Lucio

NPI #1003044900 in Hurlburt Field, Florida

Provider Information

NPI Number: 1003044900
Entity Type: Individual
Name: Jose Encarnacion Lucio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 30, 2009
Last Updated: Jan 24, 2012

Practice Location

Address: 113 LIELMANIS AVE
City: Hurlburt Field
State: Florida
ZIP Code: 32544-5613
Phone: (850) 881-5855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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