Individual
KIM LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, C
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
26NN07311100
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN07311100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6769004
—
NJ
Enumeration date
06/10/2005
Last updated
08/23/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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