Organization
LUCA HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH LUCARELLI DNP, APRN, FNP-C (OWNER/PROVIDER)
(203) 623-6487
Entity
Organization
Contact information
Practice address
2475 ALBANY AVE STE 205, WEST HARTFORD, CT 06117-2523
(203) 623-6487
Mailing address
748 JARVIS ST, CHESHIRE, CT 06410-1522
(203) 623-6487
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982853263
—
CT
Enumeration date
11/04/2020
Last updated
11/04/2020
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