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Individual

MICHAEL JOSEPH LUCCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37028
MN
207RC0000X
Cardiovascular Disease Physician
Primary
37028
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
37028
MN
207RI0011X
Interventional Cardiology Physician
37028
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199317800
MN
Enumeration date
06/21/2006
Last updated
11/20/2018
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