Provider Demographics
NPI:1093854689
Name:LUCE, JUDITH EVE-MARIE (LM)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:EVE-MARIE
Last Name:LUCE
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 FAIRVIEW ST APT C
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2317
Mailing Address - Country:US
Mailing Address - Phone:510-428-1419
Mailing Address - Fax:510-428-1419
Practice Address - Street 1:1515 FAIRVIEW ST APT C
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2317
Practice Address - Country:US
Practice Address - Phone:510-428-1419
Practice Address - Fax:510-428-1419
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA#207176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife