Provider Demographics
NPI:1629299292
Name:LUCE, VIRGINIA (MS)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:LUCE
Suffix:
Gender:F
Credentials:MS
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 2032
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302
Mailing Address - Country:US
Mailing Address - Phone:603-228-2101
Mailing Address - Fax:
Practice Address - Street 1:30 BOROUGH RD.
Practice Address - Street 2:SUITE 2
Practice Address - City:PENACOOK
Practice Address - State:NH
Practice Address - Zip Code:03303
Practice Address - Country:US
Practice Address - Phone:603-228-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator