Provider Demographics
NPI:1376714410
Name:LUZZI, VERONICA INES (PHD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:INES
Last Name:LUZZI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:INES
Other - Last Name:ANDRISANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:660 S EUCLID AVE # 8046
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-3516
Mailing Address - Fax:
Practice Address - Street 1:4940 PARKVIEW PL
Practice Address - Street 2:WOHL CLINIC - ROOM 6602
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1025
Practice Address - Country:US
Practice Address - Phone:314-362-3516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO26D0652041OtherCLIA