MEDICARE: CHRISTOPHER F LUCCHESE DO

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
1	208600000X	Surgery Physician	34-00-5843-L	OH
2	208600000X	Surgery Physician	P1784	TX
3	207Q00000X	Family Medicine Physician	P1784	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1427056639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER F LUCCHESE DO

Provider Business Mailing Address
First Line	:	PO BOX 397
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75091-0397
Country	:	US
Telephone Number	:	419-236-2651
Fax Number	:

Provider Business Practice Location Address
First Line	:	10935 ESTATE LN STE 395
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-5139
Country	:	US
Telephone Number	:	972-798-8001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	05/20/2020

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Directions to “ CHRISTOPHER F LUCCHESE DO” Practice Location

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