Individual provider · Type 1 NPI

Dorene Luise Lucchesi

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1306242086 Active

Practice location

425 Divisadero St Ste 300
San Francisco, CA 94117-2242

Call (415) 551-0975 Map

Fax (415) 551-1763

Mailing address

560 Hawthorne Ave
San Bruno, CA 94066-4131

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306242086

Dorene Luise Lucchesi's National Provider Identifier is 1306242086, issued on Nov 7, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Nov 7, 2014.