Provider Demographics
NPI:1033594403
Name:LUCY, ALEXANDRA G (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:G
Last Name:LUCY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 EXECUTIVE CENTER DR W STE 206
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2472
Mailing Address - Country:US
Mailing Address - Phone:800-975-4819
Mailing Address - Fax:760-203-1194
Practice Address - Street 1:877 EXECUTIVE CENTER DR W STE 206
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-2472
Practice Address - Country:US
Practice Address - Phone:800-975-4819
Practice Address - Fax:760-203-1194
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
16875OtherAMERICAN BOARD OF GENETIC COUNSELING (ABGC)
CTGC.000174OtherCT DEPT OF PUBLIC HEALTH
CAGC001324OtherCA DEPT OF PUBLIC HEALTH
WAGT61129228OtherWA STATE DEPT OF HEALTH
PAGC000651OtherPA DEPT OF STATE