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RICHARD JOSEPH LUCARIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5046 HIGHWAY 17 BYP S STE 200, MYRTLE BEACH, SC 29588-4503
(843) 449-0453
Mailing address
1119 BRAGGS WAY UNIT 4416, MYRTLE BEACH, SC 29572-4684
(914) 886-3705

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101272812
VA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
90275
SC

Other

Enumeration date
03/21/2017
Last updated
01/22/2025
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