Individual
MICHAEL A LUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2566 HAYMAKER RD STE 203, MONROEVILLE, PA 15146-3554
(412) 858-7088
(412) 858-7016
Mailing address
2566 HAYMAKER RD STE 203, MONROEVILLE, PA 15146-3554
(412) 858-7088
(412) 858-7016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052358
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103192461
—
PA
01
—
11589099
CAQH
—
Enumeration date
02/28/2006
Last updated
10/06/2020
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