Mary Grace Lucas Abu, MD
Specialist in Riverside, CA. Individual provider (NPI-1).
NPI number1083963631
StatusActive
Last updated in NPPESDec 13, 2021
Details
- NPI
- 1083963631
- Entity type
- Individual (NPI-1)
- Name
- Mary Grace Lucas Abu
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2012
- Certification date
- Dec 13, 2021
- Last updated
- Dec 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | A136578 | CA | Yes |
Other names
- Mary Grace Lucas (Professional Name)
Practice location
10800 Magnolia Ave.Riverside, CA 92505
Phone 866-984-7483 · Fax 951-353-5375
Mailing address
10800 Magnolia AveRiverside, CA 92505-3043
Phone 866-984-7483 · Fax 951-353-5373
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