Individual
MARK LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE STREET, PHIPPS 126, BALTIMORE, MD 21287-0005
(410) 955-2259
(410) 955-9126
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35065678L
OH
207T00000X
Neurological Surgery Physician
Primary
D80194
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0956943
—
OH
Enumeration date
04/18/2006
Last updated
03/13/2019
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