Provider Demographics
NPI:1790183572
Name:BAKR, LUCY (BA)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:BAKR
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:LUCY
Other - Middle Name:
Other - Last Name:ELMAZAHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:264 ABBOTSBURY DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-4218
Mailing Address - Country:US
Mailing Address - Phone:407-873-6614
Mailing Address - Fax:
Practice Address - Street 1:264 ABBOTSBURY DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-4218
Practice Address - Country:US
Practice Address - Phone:407-873-6614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator