| Mark A. Lucianna Md | |
|
7530 204th St Ne Arlington WA 98223-8912 | |
| (360) 435-7337 | |
| (360) 435-3510 |
| Full Name | Mark A. Lucianna Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7530 204th St Ne, Arlington, Washington |
| Authorized Official Name and Position | Luanne Vanwinkle (MANAGER) |
| Authorized Official Contact | 3604357337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Lucianna Md 7530 204th St Ne Arlington WA 98223-8912 Ph: (360) 435-7337 | Mark A. Lucianna Md 7530 204th St Ne Arlington WA 98223-8912 Ph: (360) 435-7337 |
| NPI Number | 1750581047 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750581047 | NPI | - | NPPES |
| 7112196 | Medicaid | WA | |
| 0152577 | Other | WA | DEPT. OF LABOR AND INDUST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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Charles T Chaffee Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7530 204th St Ne, Arlington, WA 98223 Phone: 360-435-7337 Fax: 360-435-3510 | |
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