Individual
MARISSA LUCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4520 FENWOOD PL, HIGHLANDS RANCH, CO 80130-6897
(720) 290-8942
Mailing address
4520 FENWOOD PL, HIGHLANDS RANCH, CO 80130-6897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1000576
CO
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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