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Individual
MS. LUCCA CRIMINALE
Active
Individual
MS. LUCCA CRIMINALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244043
DEPARTMENT OF LABOR & INDUSTRIES
WA
01
—
449912
DEPARTMENT OF LABOR & INDUSTRIES
WA
05
—
8501439
—
WA
Enumeration date
12/06/2007
Last updated
11/07/2022
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