Provider Demographics
NPI:1225319577
Name:PECORA-BRAUN, LUCIA ANNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LUCIA
Middle Name:ANNA
Last Name:PECORA-BRAUN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-4471
Mailing Address - Country:US
Mailing Address - Phone:847-658-7051
Mailing Address - Fax:
Practice Address - Street 1:100 N RANDALL RD
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-4471
Practice Address - Country:US
Practice Address - Phone:847-658-7051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-287683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist