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General NPI Number Information
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NPI Number | 1114030723
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Entity Type | Individual
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Provider Name | MARIA ROSE LUCARELLI MD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 5131 BEACON HILL RD STE 220E
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City | COLUMBUS
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State | OH
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Zip | 43228-4442
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Country | US
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Telephone | 614-878-6413
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Fax | 614-878-1159
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Provider Business Mailing Address
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Address Line | PO BOX 7527
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City | DUBLIN
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State | OH
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Zip | 43017-0727
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Country | US
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Telephone |
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Fax | 614-544-6370
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35078489
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35078489
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License Number State | OH
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