Provider Demographics
NPI:1164804290
Name:LUCCHINO, EMILY A (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:A
Last Name:LUCCHINO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 STEUBENVILLE PIKE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1353
Mailing Address - Country:US
Mailing Address - Phone:412-722-1595
Mailing Address - Fax:
Practice Address - Street 1:6000 STEUBENVILLE PIKE STE 102
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1353
Practice Address - Country:US
Practice Address - Phone:412-722-1595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAJ010782111N00000X
PADC011012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor