Individual
MICHELLE LYNN LUCARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 MARION AVE SE, MASSILLON, OH 44646-8142
(330) 844-6733
Mailing address
1572 BALLINGER AVE SE, MASSILLON, OH 44646-8191
(330) 265-6303
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376699161097
OH
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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