Individual
JEFFREY LUCCHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 CLEVELAND DR, LOWER BURRELL, PA 15068-3349
(724) 994-8147
Mailing address
508 CLEVELAND DR, LOWER BURRELL, PA 15068-3349
(724) 994-8147
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VN1006X
PA
Other
Enumeration date
03/01/2011
Last updated
11/16/2016
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