Provider Demographics
NPI:1891033361
Name:LUCIEN, KARINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:LUCIEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 PINEWALK DR N
Mailing Address - Street 2:APT 108
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7813
Mailing Address - Country:US
Mailing Address - Phone:954-592-6692
Mailing Address - Fax:
Practice Address - Street 1:6570 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3625
Practice Address - Country:US
Practice Address - Phone:954-422-5481
Practice Address - Fax:954-422-5484
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29560183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist