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Individual

MRS. RENEE LUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
161 CECIL B MOORE, SUITE 204, PHILADELPHIA, PA 19122-3243
(215) 585-2144
(267) 780-7032
Mailing address
228 PARK AVE S, SUITE 15314, NEW YORK, NY 10003-4941
(215) 585-2144
(267) 780-7032

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
407987
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP022319
PA

Other

Enumeration date
08/08/2020
Last updated
02/27/2026
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