Individual
LAWRENCE LUCCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1289 ANHINGA DR, WELLINGTON, FL 33414-5054
(561) 951-8902
Mailing address
1289 ANHINGA DR, WELLINGTON, FL 33414-5054
(561) 951-8902
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L200-520-73-143-0
FL
Other
Enumeration date
04/05/2023
Last updated
04/07/2023
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