Provider Demographics
NPI:1881709772
Name:CHIE, LUCY Y (MD)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:Y
Last Name:CHIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PARK DR
Mailing Address - Street 2:APARTMENT #26
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-4404
Mailing Address - Country:US
Mailing Address - Phone:617-482-7555
Mailing Address - Fax:
Practice Address - Street 1:SOUTH COVE COMMUNITY HEALTH CENTER
Practice Address - Street 2:885 WASHINGTON STREET
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-482-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222251207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology