Individual
AXEL A LUCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6218 N KINGS HWY STE B, ALEXANDRIA, VA 22303-2442
(571) 560-2621
(571) 560-2622
Mailing address
PO BOX 791775, BALTIMORE, MD 21279-1775
(571) 302-5000
(571) 302-5001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005033
VA
Other
Enumeration date
10/06/2015
Last updated
05/06/2026
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