Provider Demographics
NPI:1689682379
Name:ARNOLD, LUCY W (MD)
Entity type:Individual
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First Name:LUCY
Middle Name:W
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:133 BROOKLINE AVE FL 9
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3904
Mailing Address - Country:US
Mailing Address - Phone:617-421-6050
Mailing Address - Fax:617-421-6083
Practice Address - Street 1:133 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-6050
Practice Address - Fax:617-421-6083
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2020-11-17
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Provider Licenses
StateLicense IDTaxonomies
MA578362080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6179173OtherCIGNA
MAAA22002OtherHARVARD PILGRIM
MAJ12475OtherBLUE CROSS
MA0033986OtherNEIGHBORHOOD HEALTH PLAN
MA057836OtherTUFTS HEALTH PLAN
MA3085201Medicaid
MA3085201Medicaid
MAJ1247501Medicare PIN