Provider Demographics
NPI:1003091117
Name:LUCIANI, RALPH JOHN I (DO, MD(H))
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:JOHN
Last Name:LUCIANI
Suffix:I
Gender:M
Credentials:DO, MD(H)
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Mailing Address - Street 1:1530 W GLENDALE AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-8578
Mailing Address - Country:US
Mailing Address - Phone:602-242-4024
Mailing Address - Fax:602-242-4913
Practice Address - Street 1:1530 W GLENDALE AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-8578
Practice Address - Country:US
Practice Address - Phone:602-242-4024
Practice Address - Fax:602-242-4913
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ10802083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine