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NPI Code Detail

MEDICARE: DR. MARIANNE M. LUCHINI M.D.

MEDICARE: DR. MARIANNE M. LUCHINI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20020335NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336132786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIANNE M. LUCHINI M.D.
Provider Business Mailing Address
First Line : 2011 DESERT SPRINGS CT
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4989
Country : US
Telephone Number : 505-603-3462
Fax Number : 505-629-1526
Provider Business Practice Location Address
First Line : 104 LEGION DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4804
Country : US
Telephone Number : 505-603-3462
Fax Number : 505-629-1526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 06/24/2011

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