Provider Demographics
NPI:1679061113
Name:GUO, LUCIE YUEQI (MD, PHD)
Entity type:Individual
Prefix:
First Name:LUCIE
Middle Name:YUEQI
Last Name:GUO
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 NORTH 39TH STREET
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2689
Mailing Address - Country:US
Mailing Address - Phone:215-614-4100
Mailing Address - Fax:215-615-0527
Practice Address - Street 1:3400 CIVIC CENTER BLVD
Practice Address - Street 2:WEST PAVILION, 3RD FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5127
Practice Address - Country:US
Practice Address - Phone:215-614-4100
Practice Address - Fax:215-615-0527
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA182502207W00000X
PAMD490100207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology