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Individual

NICOLE LUCCHESI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6907
(407) 481-2035
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6907
(407) 481-2035

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP 9278268
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9278268
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008928500
FL
Enumeration date
08/13/2012
Last updated
06/19/2017
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