Provider Demographics
NPI:1427206200
Name:SAPUTELLI, LUCIA (LSA)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:SAPUTELLI
Suffix:
Gender:F
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 HAROLD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1401
Mailing Address - Country:US
Mailing Address - Phone:832-867-8568
Mailing Address - Fax:
Practice Address - Street 1:2131 HAROLD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1401
Practice Address - Country:US
Practice Address - Phone:832-867-8568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical