Provider Demographics
NPI:1194969873
Name:LUCIA, TERESA LORRAINE AUCK (MD)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:LORRAINE AUCK
Last Name:LUCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:TALENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1004 SOUTH ROCK STREET
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626
Mailing Address - Country:US
Mailing Address - Phone:512-279-0348
Mailing Address - Fax:512-371-8788
Practice Address - Street 1:5656 WEST BEE CAVES ROAD
Practice Address - Street 2:SUITE M-302
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5236
Practice Address - Country:US
Practice Address - Phone:512-697-3502
Practice Address - Fax:512-697-3501
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6452207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology