Alexis B De Lucca, MD

NPI #1770928558 in Gresham, Oregon

Provider Information

NPI Number: 1770928558
Entity Type: Individual
Name: Alexis B De Lucca, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 7, 2013
Last Updated: Dec 19, 2016

Practice Location

Address: 2020 SE 182ND AVENUE
City: Gresham
State: Oregon
ZIP Code: 97030
Phone: (503) 988-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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