Individual
DR. LUCILLE VENTURANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
RR 1 BOX 137, TOWANDA, PA 18848-9730
(570) 265-0100
(570) 265-6741
Mailing address
RR1 BOX 137, TAWANDA, PA 18848-9730
(570) 265-0100
(570) 265-6741
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD038085L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005513480004
—
PA
01
—
103300
PRIV INSURANCE
PA
Enumeration date
01/12/2007
Last updated
11/17/2008
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