Luccioni, Divini
Luccioni, Divini is an individual health care provider with primary practice located at 76 Shady Lane Dr , Slidell LA 70461-1538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Luccioni, Divini can be contacted via phone (504) 444-1668.Contact Information
Primary practice address
76 Shady Lane Dr
Slidell LA 70461-1538
Phone: (504) 444-1668
Fax: (504) 444-1668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 15213R | Louisiana |
Profile Details
| NPI number | 1508837097 |
|---|---|
| LBN Legal business name | Luccioni, Divini |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | May 18th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508837097 | NPPES |
| Louisiana | MEDICAID | 1163082 |
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