Individual
DANIELLE NICOL LUCCHESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1597 MEDICAL DR FL 2, POTTSTOWN, PA 19464-3224
(610) 327-7770
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS020701
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2015
Last updated
07/14/2021
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