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Individual

ANTHONY LUCCI JR.

Active
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Individual

ANTHONY LUCCI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
J3347
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166056501
TX
01
8P2121
BCBS
TX
01
P00162386
RR MEDICARE
TX
Enumeration date
10/05/2006
Last updated
07/02/2012
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