Provider Demographics
NPI:1730177957
Name:CAGNES, LUCIA CAGNES (MD)
Entity type:Individual
Prefix:DR
First Name:LUCIA
Middle Name:CAGNES
Last Name:CAGNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LUCIA
Other - Middle Name:C
Other - Last Name:MCNABB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1330 PHINNEY'S LN.
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-775-0003
Mailing Address - Fax:508-790-1879
Practice Address - Street 1:1330 PHINNEY'S LN.
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-775-0003
Practice Address - Fax:508-790-1879
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160079207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM20707Medicare PIN