Individual
DR. MICHAEL JOHN LUCA JR.
Active
Individual
DR. MICHAEL JOHN LUCA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0102203537
VA
390200000X
Student in an Organized Health Care Education/Training Program
L200550772430
FL
Other
Enumeration date
04/05/2012
Last updated
11/08/2021
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