Individual
ELLEN MARIE LUCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
702 CHURCH ST, HAWLEY, PA 18428-1412
(272) 336-0101
(272) 336-8124
Mailing address
702 CHURCH ST, HAWLEY, PA 18428-1412
(272) 336-0101
(272) 336-0102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN591454
PA
363LF0000X
Family Nurse Practitioner
Primary
SP021781
PA
Other
Enumeration date
11/03/2019
Last updated
02/09/2026
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