Mario S Lucca (NPI# 1497923791, PAC ID# 9537352968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1497923791 |
| PAC ID by PECOS | 9537352968 |
| Professional Enrollment ID | I20101019000155 |
| Full Name | Mario S Lucca |
| Organization Legal Name | LUCCA ORAL AND FACIAL SURGERY, LLC |
| Address |
185 Dartmouth St Suite 403 Boston MA 02116-5883 |
| Phone Number | 6173000345 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 4981982097 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 185 Dartmouth St, Suite 403, Boston, MA 02116-5883 | 6173000345 | LUCCA ORAL AND FACIAL SURGERY, LLC |
| 185 Dartmouth St, Boston, MA 02116-5883 | 6173000345 | LUCCA ORAL AND FACIAL SURGERY, LLC |
| Organization Legal Name | LUCCA ORAL AND FACIAL SURGERY, LLC |
| Physicians | 1 |
| Street Address |
185 DARTMOUTH ST SUITE 403 |
| City | BOSTON |
| State | MA |
| Zip | 02116-5883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordana L Szpiro | Podiatry | 264 Beacon St, Suite 2, Boston, MA 02116-1236 | |
| Laura D Crain | Psychiatry | 264 Beacon St, Suite 6, Boston, MA 02116-1236 | |
| Susan Lucker | Clinical Social Worker | 264 Beacon St, Suite 5, Boston, MA 02116-1236 | |
| Ann C Horwitz | Psychologist, Clinical | 264 Beacon St, Suite 5, Boston, MA 02116-1236 | |
| David Heller | Clinical Psychologist | 264 Beacon St, Boston, MA 02116-1236 | |
| Geoffry W Mcenany | Certified Clinical Nurse Specialist (cns) | 264 Beacon St, Suite 601, Boston, MA 02116-1280 | |
| Cheryl S Weinstein | Psychologist, Clinical | 82 Marlborough St, Boston, MA 02116-2019 | |
| Carie Ann Gavigan | Psychologist, Clinical | 82 Marlborough St, Boston, MA 02116-2019 | |
| Kathleen M Andolina | Certified Clinical Nurse Specialist (cns) | 82 Marlborough St, Boston, MA 02116-2020 | |
| Dorian Mintzer | Psychologist, Clinical | 82 Marlborough St, Boston, MA 02116-2020 | |
| Find all physicians in zip 02116 | |||
| City | BOSTON |
| Zip Code | 02116 |
| Specialty | ORAL SURGERY |
| City + Specialty | BOSTON + ORAL SURGERY |
Please comment or provide details below to improve the information on Mario S Lucca.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.