MEDICARE: MS. ELIZABETH ANN LUCIANO MA

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1649373432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH ANN LUCIANO MA

Provider Business Mailing Address
First Line	:	105 KINGWOOD LN
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19055-2424
Country	:	US
Telephone Number	:	215-943-3553
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 N CLINTON AVE
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08609-1011
Country	:	US
Telephone Number	:	609-278-4933
Fax Number	:

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	07/08/2007

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