| Michael J. Lucherini Mdpc | |
|
6828 E Brown Rd Ste 102 Mesa AZ 85207-3761 | |
| (480) 981-8650 | |
| (480) 981-1563 |
| Full Name | Michael J. Lucherini Mdpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6828 E Brown Rd Ste 102, Mesa, Arizona |
| Authorized Official Name and Position | Ellie Tweed (BILLER) |
| Authorized Official Contact | 4807921080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Lucherini Mdpc 6828 E Brown Rd Ste 102 Mesa AZ 85207-3761 Ph: (480) 981-8650 | Michael J. Lucherini Mdpc 6828 E Brown Rd Ste 102 Mesa AZ 85207-3761 Ph: (480) 981-8650 |
| NPI Number | 1003969445 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003969445 | NPI | - | NPPES |
| 364076 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26249 (Arizona) | Primary |
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