Provider Demographics
NPI:1235596404
Name:MARSH, LUCY (LAC)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:MARSH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S DUBUQUE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4242
Mailing Address - Country:US
Mailing Address - Phone:319-930-8303
Mailing Address - Fax:
Practice Address - Street 1:720 S DUBUQUE ST STE 3
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4242
Practice Address - Country:US
Practice Address - Phone:319-930-8303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-87171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist