Provider Demographics
NPI:1861657272
Name:LOUCA, NANCY SHEAU LAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:SHEAU LAN
Last Name:LOUCA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:SHEAU LAN
Other - Last Name:FU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:736 CAMBRIDGE ST.
Mailing Address - Street 2:EMERGENCY DEPARTMENT, ST. ELIZABETH'S MEDICAL CENTER
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:646-643-6707
Mailing Address - Fax:617-789-3338
Practice Address - Street 1:736 CAMBRIDGE ST.
Practice Address - Street 2:EMERGENCY DEPARTMENT, ST. ELIZABETH'S MEDICAL CENTER
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:646-643-6707
Practice Address - Fax:617-789-3338
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA243654207P00000X
NY2479331207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine