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NPI Code Detail

MEDICARE: CAMERON LUCCHESI

MEDICARE: CAMERON LUCCHESI
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
1163WC0200XCritical Care Medicine Registered Nurse0001309933VA
2367500000XCertified Registered Nurse Anesthetist0024193726VA

General Provider Information

NPI Number : 1053092304
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON LUCCHESI
Provider Business Mailing Address
First Line : 1881 UNIVERSITY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8001
Country : US
Telephone Number : 907-460-1198
Fax Number :
Provider Business Practice Location Address
First Line : 1881 UNIVERSITY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8083
Country : US
Telephone Number : 907-460-1198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2023
Last Update Date : 01/26/2026

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Directions to “ CAMERON LUCCHESI ” Practice Location

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