Michael Louis Lucchesi
NPI #1073194320 in Lake Tapps, Washington
Provider Information
- NPI Number
- 1073194320
- Entity Type
- Individual
- Name
- Michael Louis Lucchesi
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Apr 19, 2021
- Last Updated
- Feb 18, 2022
Practice Location
- Address
- 3219 170TH AVE E
- City
- Lake Tapps
- State
- Washington
- ZIP Code
- 98391-5530
- Phone
- (253) 363-6207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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