Individual
MICHAEL LUCCA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-2120
(215) 938-2112
Mailing address
12265 TOWNSEND RD, STE 500, PHILADELPHIA, PA 19154-1201
(215) 856-1014
(215) 856-1020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD033907E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010111610003
—
PA
Enumeration date
08/11/2005
Last updated
07/08/2007
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