Provider Demographics
NPI:1629122098
Name:REID-DUNCAN, LUCIENNE LARIANE (MD)
Entity Type:Individual
Prefix:DR
First Name:LUCIENNE
Middle Name:LARIANE
Last Name:REID-DUNCAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 793
Mailing Address - Street 2:
Mailing Address - City:OCEANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08231-0793
Mailing Address - Country:US
Mailing Address - Phone:571-294-6419
Mailing Address - Fax:
Practice Address - Street 1:2500 ENGLISH CREEK AVE BLDG 800
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5549
Practice Address - Country:US
Practice Address - Phone:609-407-2277
Practice Address - Fax:609-272-6306
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012391502084N0400X
NJ25MA088369002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology