Provider Demographics
NPI:1376662700
Name:MARELLA-LUCE, JUNE RACHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:JUNE
Middle Name:RACHELLE
Last Name:MARELLA-LUCE
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 1:215 COVENTRY RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2304
Mailing Address - Country:US
Mailing Address - Phone:404-663-1953
Mailing Address - Fax:
Practice Address - Street 1:3802 N DRUID HILLS RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3015
Practice Address - Country:US
Practice Address - Phone:404-663-1953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor