Provider Demographics
NPI:1134144975
Name:LUCENTE, DIANE ELIZABETH (MS)
Entity Type:Individual
Prefix:MISS
First Name:DIANE
Middle Name:ELIZABETH
Last Name:LUCENTE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-4554
Mailing Address - Country:US
Mailing Address - Phone:781-893-2449
Mailing Address - Fax:
Practice Address - Street 1:185 CAMBRIDGE ST
Practice Address - Street 2:CPZN, RM 5820
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2790
Practice Address - Country:US
Practice Address - Phone:617-643-3199
Practice Address - Fax:617-726-5735
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS