Individual
LUCA MICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-9283
(301) 295-5928
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-9283
(301) 295-5928
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
ME151853
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2020
Last updated
07/10/2024
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