Lucci, Michael A

Lucci, Michael A is an individual health care provider with primary practice located at 2566 Haymaker Rd Ste 203 , Monroeville PA 15146-3554. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lucci, Michael A can be contacted via phone (412) 858-7088.

Contact Information

Primary practice address
2566 Haymaker Rd Ste 203 Monroeville PA 15146-3554
Phone: (412) 858-7088
Fax: (412) 858-7016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA052358 Pennsylvania

Profile Details

NPI number 1598731622
LBN Legal business name Lucci, Michael A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Oct 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598731622 NPPES
Pennsylvania MEDICAID 103192461
Pennsylvania Other 11589099

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