Search › Pennsylvania › 207Q00000X
Michael Luciano, D.O
NPI 1457431637 · on the registry since 2006 · sole proprietor
Practice
- Address
- 882 Jacksonville Rd.
Suite 204
Ivyland, PA 18974 - Phone
- (215) 957-1100
- Fax
- (215) 957-1111
- Organisation at this address
- Jvrx, Llc
Mcl Primary Care, Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania