Organization
MICHAEL W. LUCARELLI D.O.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM LUCARELLI D.O. (PHYSICIAN/PRESIDENT)
(401) 471-6850
Entity
Organization
Contact information
Practice address
3461 S COUNTY TRL, SUITE 201, EAST GREENWICH, RI 02818-1463
(401) 471-6850
(401) 471-6855
Mailing address
3461 S COUNTY TRL, SUITE 201, EAST GREENWICH, RI 02818-1463
(401) 471-6850
(401) 471-6855
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DO00491
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089002947
MEDICARE
—
Enumeration date
05/04/2009
Last updated
05/04/2009
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