Individual
JEAN D LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
Mailing address
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP006643B
PA
Other
Enumeration date
05/01/2007
Last updated
08/10/2015
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