Provider Demographics
NPI:1679100903
Name:GAVLINSKI, LUCEY ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:LUCEY
Middle Name:ANNE
Last Name:GAVLINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LUCEY
Other - Middle Name:ANNE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:719 GREEN VALLEY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:719 GREEN VALLEY RD STE 201
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7025
Practice Address - Country:US
Practice Address - Phone:336-378-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1679100903207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology