Provider Demographics
NPI:1487961876
Name:LUCIA HART, ISIS (APRN)
Entity type:Individual
Prefix:MRS
First Name:ISIS
Middle Name:
Last Name:LUCIA HART
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:ISIS
Other - Middle Name:
Other - Last Name:LUCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:34 HAVERHILL ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-2884
Mailing Address - Country:US
Mailing Address - Phone:978-685-4860
Mailing Address - Fax:978-685-4328
Practice Address - Street 1:25 HOSPITAL CENTER BLVD STE 305
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2739
Practice Address - Country:US
Practice Address - Phone:843-681-4977
Practice Address - Fax:846-681-7233
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA168149363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health