Provider Demographics
NPI:1144288515
Name:PALMER, LUCIA F (MD)
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:F
Last Name:PALMER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11 STARBOARD LN
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-4744
Mailing Address - Country:US
Mailing Address - Phone:401-245-0096
Mailing Address - Fax:401-245-5996
Practice Address - Street 1:135 GOLD STAR BLVD
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606
Practice Address - Country:US
Practice Address - Phone:508-853-2716
Practice Address - Fax:508-856-9025
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA756702085N0904X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3066444Medicaid
3024709OtherCIGNA HEALTH PLAN
754525OtherFIRST HEALTH
J09919OtherBLUE SHIELD INDEMNITY
39112OtherFALLON COMMUNITY HEALTH P
300119947OtherRAILROAD MEDICARE
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
3066444OtherMEDICAID WELFARE
40352OtherCHILDRENS MEDICAL SECURIT
40352OtherHEALTHY START
042472266OtherHEALTHCARE VALUE MANAGMEN
784217OtherMVP HEALTH CARE
J09919OtherBLUE CARE ELECT
J09919OtherBLUE SHIELD HMO BLUE
4396471OtherAETNA US HEALTHCARE
A32076OtherMEDICARE B
AA5532OtherHARVARD PILGRIM HEALTHCAR
J09919OtherBLUE CARE ELECT
4396471OtherAETNA US HEALTHCARE