Provider Demographics
NPI:1578879938
Name:NUGENT, LUCINDA
Entity Type:Individual
Prefix:MRS
First Name:LUCINDA
Middle Name:
Last Name:NUGENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 S HIRAM RD
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:ME
Mailing Address - Zip Code:04041-3636
Mailing Address - Country:US
Mailing Address - Phone:207-625-7134
Mailing Address - Fax:207-625-7186
Practice Address - Street 1:137 S HIRAM RD
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:ME
Practice Address - Zip Code:04041-3636
Practice Address - Country:US
Practice Address - Phone:207-625-7134
Practice Address - Fax:207-625-7186
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT206225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist