Individual
JOETTE LOUISE LUCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
15-1411 24TH ST, KEAAU, HI 96749
(808) 731-5481
Mailing address
16-566 KEAAU PAHOA RD # 188-256, KEAAU, HI 96749-8137
(310) 245-6916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14190
CA
363L00000X
Nurse Practitioner
1898
HI
Other
Enumeration date
09/26/2006
Last updated
06/30/2021
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