Individual
LUCAS CHIERICI PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 456-7890
Mailing address
510 N BROAD ST APT 317, PHILADELPHIA, PA 19130-4335
(267) 239-7814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT228677
PA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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