-- ALEXIS B DE LUCCA -- MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1770928558- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2020 SE 182ND AVENUE, GRESHAM, OR, 97030
- Phone
- (503) 988-5400
- Fax
- (503) 988-5668
Specialties & Taxonomies
Family Medicine
Primary License: OR #MD175758
Student in an Organized Health Care Education/Training Program
License: OR