Individual
KRISTINA MUTHER LUCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
341 PONCE DE LEON AVENUE, ATLANTA, GA 30308
(404) 520-0162
(404) 616-9732
Mailing address
2710 WATERS EDGE TRL, ROSWELL, GA 30075-8216
(404) 520-0162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN153996
GA
Other
Enumeration date
05/05/2006
Last updated
04/07/2010
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