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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL LOUIS LUCCHESI

Active

MICHAEL LOUIS LUCCHESI is a Medical Physician Assistant healthcare provider located in LAKE TAPPS, Washington. NPI 1073194320 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LAKE TAPPS, WA

Registration Details

NPI Number
1073194320
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2021 (5.3368810424719 yrs)
Last Updated
Feb 18, 2022
License
9115677 (FL)

Practice Information

Address
3219 170TH AVE E
LAKE TAPPS, WA, 983915530
Browse WA providers · Browse ZIP 98391
Phone
2533636207
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in LAKE TAPPS, WA

Name Credential NPI
MRS. AUBREY JENSEN YOUNG PA-C 1598104085
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.