Provider Demographics
NPI:1700644101
Name:REZIL, LUCILE LEA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:LUCILE
Middle Name:LEA
Last Name:REZIL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MRS
Other - First Name:LUCILE
Other - Middle Name:LEA
Other - Last Name:FRANCOIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:93 BROWNELL ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-5036
Mailing Address - Country:US
Mailing Address - Phone:857-233-7922
Mailing Address - Fax:
Practice Address - Street 1:93 BROWNELL ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-5036
Practice Address - Country:US
Practice Address - Phone:857-233-7922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2325225163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Single Specialty