Organization
HOLISTIC SURGICAL ASSOC. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER F LUCCHESE D.O., FACOS (PRESIDENT)
(419) 228-8012
Entity
Organization
Contact information
Practice address
770 W HIGH ST, SUITE 320, LIMA, OH 45801-3990
(419) 228-8012
Mailing address
770 W HIGH ST, SUITE 320, LIMA, OH 45801-3990
(419) 228-8012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6268010002
MEDICARE DME
—
Enumeration date
03/02/2007
Last updated
03/18/2011
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