Provider Demographics
NPI:1013761733
Name:HOLT, LUCY (MSGC)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:HOLT
Suffix:
Gender:F
Credentials:MSGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3356 S UINTA CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4517
Mailing Address - Country:US
Mailing Address - Phone:925-405-2643
Mailing Address - Fax:
Practice Address - Street 1:3356 S UINTA CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4517
Practice Address - Country:US
Practice Address - Phone:925-405-2643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS