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Organization
MCL PRIMARY CARE, LLC.
Active
Organization
MCL PRIMARY CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C. LUCIANO D.O. (PHYSICIAN/OWNER)
(215) 957-1100
Entity
Organization
Contact information
Practice address
882 JACKSONVILLE RD, SUITE 204, IVYLAND, PA 18974-4836
(215) 957-1100
(215) 957-1111
Mailing address
882 JACKSONVILLE RD, SUITE 204, IVYLAND, PA 18974-4836
(215) 957-1100
(215) 957-1111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS014106
PA
Other
Enumeration date
09/28/2009
Last updated
11/16/2009
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