Timothy Robert Lucisano in Charlotte - Nurse Anesthetist, Certified Registered

Timothy Robert Lucisano - NPI 1699702043

Timothy Robert Lucisano is a Nurse Anesthetist, Certified Registered in Charlotte, North Carolina. Timothy Robert Lucisano practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Timothy Robert Lucisano is 1699702043. The last update date is 2008-08-14.

Timothy Robert Lucisano's current location address is 10628 Park Rd, Charlotte, North Carolina. You can contact this provider via phone number 7046671971. The mailing address for Timothy Robert Lucisano is 10628 Park Rd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Robert Lucisano
Address 10628 Park Rd, Charlotte, North Carolina
Phone Number 7046671971
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1699702043
Provider Enumeration Date 2006-06-28
Last Updated Date 2008-08-14

Provider Mailing Address Detail

Address 10628 Park Rd
City Charlotte
State North Carolina (NC)
Post Code 282108407
Phone Number 7046671971
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 102492
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8051806 NC --
NAN635 SC --

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FAQs about Timothy Robert Lucisano

What is the unique 10-digit identifier code issued to Timothy Robert Lucisano by the Centers for Medicare & Medicaid Services?

The Timothy Robert Lucisano has been assigned the NPI (National Provider Identifier) 1699702043 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Timothy Robert Lucisano's facilities are situated?

The facilities of Timothy Robert Lucisano are physically located at the following address: 10628 Park Rd, Charlotte, NC, 282108407.

What is the Timothy Robert Lucisano's area of specialization and corresponding taxonomy classification?

The Timothy Robert Lucisano's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1699702043 to Timothy Robert Lucisano?

The Centers for Medicare & Medicaid Services originally issued the 1699702043 to Timothy Robert Lucisano on 2006-06-28.

As of what date were the details related to Timothy Robert Lucisano most recently updated or revised?

The information pertaining to Timothy Robert Lucisano, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-14.

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