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NPI Code Detail

MEDICARE: MEGHAN DE LUCA

MEDICARE: MEGHAN DE LUCA
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
1367A00000XAdvanced Practice MidwifeAP60702848WA

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 : 1861934135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN DE LUCA
Provider Business Mailing Address
First Line : 6002 WESTGATE BLVD STE 230
Second Line :
City : TACOMA
State : WA
Zip : 98406-2572
Country : US
Telephone Number : 253-761-2244
Fax Number : 360-744-6270
Provider Business Practice Location Address
First Line : 6002 WESTGATE BLVD STE 230
Second Line :
City : TACOMA
State : WA
Zip : 98406-2572
Country : US
Telephone Number : 253-761-2244
Fax Number : 360-744-6270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2016
Last Update Date : 12/02/2020

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Directions to “ MEGHAN DE LUCA ” Practice Location

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