Doctor Name: | DR. STEFANO LUCCIOLI |
NPI Number: | 1538372198 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101056775 |
Business Practice Address: | 527 Maple Ave E Suite 300 Vienna, VA - 221804746 |
Business Phone Number: | 7039383900 |
Business Fax Number: | 7039389391 |
Mailing Address: | 527 Maple Ave E, Suite 300 VIENNA |
State: | VA |
Postal Code: | 221804746 |
Phone Number: | 7039383900 |
Fax Number: | 7039389391 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 02/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101056775 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |