Individual
DR. MARK A LUCIANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7530 204TH ST NE, ARLINGTON, WA 98223-8912
(360) 435-8810
(360) 435-3510
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00012929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113836
—
WA
Enumeration date
09/14/2005
Last updated
02/06/2018
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