Individual
DR. LESLIE CAROLINE LUCCHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 COMMONWEALTH AVE, UNIT 6A, BOSTON, MA 02116-2707
(617) 262-3376
(617) 262-0834
Mailing address
112 MOUNT VERNON ST, BOSTON, MA 02108-1215
(617) 557-4897
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
75286
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075286
TUFTS HEALTH PLAN
MA
01
—
J12725
BCBS MA
MA
Enumeration date
11/18/2005
Last updated
08/11/2017
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