Individual provider · NPI-1
Lucie Elisabeth Mitchell, DO
Physical Medicine & Rehabilitation · Rome, GA
NPI number1861887804
StatusActive
Last updated in NPPESFeb 3, 2021
Details
- NPI
- 1861887804
- Entity type
- Individual (NPI-1)
- Name
- Lucie Elisabeth Mitchell
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2015
- Certification date
- Feb 3, 2021
- Last updated
- Feb 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 83882 | GA | Yes |
Other names
- Lucie Elisabeth Noriscat (Former Name)
Practice location
550 Redmond Rd NwRome, GA 30165-1416
Phone 762-235-3550 · Fax 706-233-8515
Mailing address
221 Technology Pkwy NwRome, GA 30165-1369
Phone 762-235-1000
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